Dr Adam R Bogomol, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Edwards, Colorado. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Mountain Radiology Inc and his current practice location is
470 Homestead Dr Apt 12, Edwards, Colorado. You can reach out to his office (for appointments etc.) via phone at
(917) 714-1092.
Dr Adam R Bogomol is licensed to practice in New Jersey (license number 25MA07553500) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750366019.
Physician's Profile
Full Name | Dr Adam R Bogomol |
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Gender | Male |
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Speciality | Diagnostic Radiology |
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Experience | 27 Years |
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Location | 470 Homestead Dr Apt 12, Edwards, Colorado |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Adam R Bogomol graduated from medical school in 1997
NPI Data:
- NPI Number: 1750366019
- Provider Enumeration Date: 12/09/2005
- Last Update Date: 05/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759281629
- Enrollment ID: I20240515003365
Medical Identifiers
Medical identifiers for Dr Adam R Bogomol such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750366019 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 25MA07553500 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mountain Radiology Inc | 4688666761 | 68 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Adam R Bogomol allows following entities to bill medicare on his behalf.
Entity Name | The Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063418424 PECOS PAC ID: 1254231533 Enrollment ID: O20040112000299 |
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Entity Name | Mountain Radiology Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093823742 PECOS PAC ID: 4688666761 Enrollment ID: O20040330001831 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Adam R Bogomol is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Adam R Bogomol, MD 470 Homestead Dr Apt 12, Edwards, CO 81632-8191 Ph: (917) 714-1092 | Dr Adam R Bogomol, MD 470 Homestead Dr Apt 12, Edwards, CO 81632-8191 Ph: (917) 714-1092 |
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