Dr Samuel Antonio Bolivar, MD in San Bernardino, CA

Dr Samuel Antonio Bolivar, MD is a medicare enrolled "Internal Medicine" physician in San Bernardino, California. His current practice location is 555 N D St, Suite 130, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at (909) 888-8154.

Dr Samuel Antonio Bolivar is licensed to practice in California (license number A41590) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144251067.

Contact Information

	Dr Samuel Antonio Bolivar, MD
	555 N D St, Suite 130, San Bernardino, CA 92401-1305
	(909) 888-8154
	(909) 888-9940

Map and Direction

Physician's Profile

Full Name	Dr Samuel Antonio Bolivar
Gender	Male
Speciality	Internal Medicine
Location	555 N D St, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144251067
Provider Enumeration Date: 07/06/2006
Last Update Date: 04/27/2023

Medicare PECOS Information:

PECOS PAC ID: 2860498821
Enrollment ID: I20061013000528

Medical Identifiers

Medical identifiers for Dr Samuel Antonio Bolivar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144251067	NPI	-	NPPES
00A415900	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A41590 (California)	Primary

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 Samuel Antonio Bolivar allows following entities to bill medicare on his behalf.

Entity Name	Samuel A. Bolivar, Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689082711 PECOS PAC ID: 1557684693 Enrollment ID: O20141222002693

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 Samuel Antonio Bolivar 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 Samuel Antonio Bolivar, MD 3410 La Sierra Ave # F369, Riverside, CA 92503-5270 Ph: (909) 888-8154	Dr Samuel Antonio Bolivar, MD 555 N D St, Suite 130, San Bernardino, CA 92401-1305 Ph: (909) 888-8154

Reviews and Comments

Internal Medicine Doctors in San Bernardino, CA

Dr. Richard James Moyer, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 399 E Highland Ave, Suite #227, San Bernardino, CA 92404 Phone: 909-886-5158 Fax: 909-883-4318
Dr. Hai Ngoc Dao, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8611 Fax: 909-881-5707
Sami Barham Nazzal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 399 E Highland Ave, Suite 307, San Bernardino, CA 92404 Phone: 909-881-7400 Fax: 909-881-5217
Nooshin Salehi, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 565 N Mount Vernon Ave, San Bernardino, CA 92411 Phone: 909-884-9091 Fax: 909-383-7013
Mr. Nicolas Nassar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 406 E Vanderbilt Way, San Bernardino, CA 92408 Phone: 909-886-1600 Fax: 909-866-7788
Dr. Mohamad Kurani, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-881-4520
Dr. Molara Nnenna Alexis, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404 Phone: 909-881-4520

Dr Samuel Antonio Bolivar, MD - Medicare Internal Medicine in San Bernardino, CA