Dr Bolivia Davis, MD | |
5 Garrett Ave, Dept Of Radiology, La Plata, MD 20646-5960 | |
(301) 609-4000 | |
Not Available |
Full Name | Dr Bolivia Davis |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 37 Years |
Location | 5 Garrett Ave, Dept Of Radiology, La Plata, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073584413 | NPI | - | NPPES |
660302501 | Medicaid | MD | |
029555600 | Medicaid | DC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0700X | Radiology - Neuroradiology | D0043096 (Maryland) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | D0043096 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Md Charles Regional Medical Center | La plata, MD | Hospital |
Westside Regional Medical Center | Plantation, FL | Hospital |
Aventura Hospital And Medical Center | Aventura, FL | Hospital |
Kendall Regional Medical Center | Miami, FL | Hospital |
Plantation General Hospital | Plantation, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intellirad Imaging Llc | 9739333790 | 38 |
University Of Maryland Diagnostic Radiology, Llc | 0345513248 | 48 |
Foundation Radiology Group Pc | 3779683537 | 72 |
University Of Maryland Diagnostic Imaging Specialists, P A | 7719873298 | 75 |
Intellirad Imaging Llc | 9739333790 | 38 |
Entity Name | Diagnostic Medical Imaging Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962412007 PECOS PAC ID: 7719885342 Enrollment ID: O20031222000052 |
Entity Name | Premier Radiology Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871565994 PECOS PAC ID: 5991742272 Enrollment ID: O20050408000883 |
Entity Name | Professional Services Of Holy Cross |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487692828 PECOS PAC ID: 3779516992 Enrollment ID: O20050916000745 |
Entity Name | F&s Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518299957 PECOS PAC ID: 0244368868 Enrollment ID: O20100818000973 |
Entity Name | Pronet Imaging Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528099488 PECOS PAC ID: 5890722755 Enrollment ID: O20120117000347 |
Entity Name | University Of Maryland Diagnostic Imaging Specialists, P A |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154335487 PECOS PAC ID: 7719873298 Enrollment ID: O20131121000450 |
Entity Name | University Imaging Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245245307 PECOS PAC ID: 2769378686 Enrollment ID: O20140423002053 |
Entity Name | Radiology Associates Of New Jersey Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659390870 PECOS PAC ID: 8820027634 Enrollment ID: O20140827001139 |
Entity Name | Desert Advanced Imaging Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568416147 PECOS PAC ID: 6406749613 Enrollment ID: O20150915000710 |
Entity Name | Beverly Radiology Medical Group Iii |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20150928000501 |
Entity Name | Tampa Bay Radiology Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518914977 PECOS PAC ID: 1456381136 Enrollment ID: O20170111003378 |
Entity Name | Truxtun Radiology Medical Group Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548265036 PECOS PAC ID: 5698714582 Enrollment ID: O20180122000177 |
Entity Name | Radiology Physician Solutions Of West Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104205046 PECOS PAC ID: 3577876218 Enrollment ID: O20180625002205 |
Entity Name | Sheridan Radiology Services Of Pinellas Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629439658 PECOS PAC ID: 7517119407 Enrollment ID: O20180712001294 |
Entity Name | Ramapo Imaging Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932150935 PECOS PAC ID: 6901705060 Enrollment ID: O20190603001149 |
Entity Name | Intellirad Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073859484 PECOS PAC ID: 9739333790 Enrollment ID: O20240212001879 |
Mailing Address | Practice Location Address |
---|---|
Dr Bolivia Davis, MD 22 S Greene St, Dept Of Radiology, Baltimore, MD 21201-1544 Ph: (410) 328-3477 | Dr Bolivia Davis, MD 5 Garrett Ave, Dept Of Radiology, La Plata, MD 20646-5960 Ph: (301) 609-4000 |
Dr. Anthony Fitzgerald Harewood, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5 Garrett Ave, Dept Of Radiology, La Plata, MD 20646 Phone: 301-609-4000 | |
Dr. Edward Martin Druy, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 5 Garrett Ave, Dept Of Radiology, La Plata, MD 20646 Phone: 301-609-4000 |