Kim Bova, NP - Medicare Nurse Practitioner in Syracuse, NY

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Kim Bova, NP is a medicare enrolled "Nurse Practitioner - Family" in Syracuse, New York. Her current practice location is 700 E Brighton Ave, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 413-3200.

Kim Bova is licensed to practice in New York (license number 350648) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861119125.

Contact Information

Kim Bova, NP
700 E Brighton Ave,
Syracuse, NY 13205-2201
(315) 413-3200
Not Available

Map and Direction




Provider's Profile

Full NameKim Bova
GenderFemale
SpecialityNurse Practitioner - Family
Location700 E Brighton Ave, Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861119125
  • Provider Enumeration Date: 10/26/2022
  • Last Update Date: 10/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6204205958
  • Enrollment ID: I20221220000505

Medical Identifiers

Medical identifiers for Kim Bova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861119125NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 350648 (New York)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. Kim Bova allows following entities to bill medicare on her behalf.
Entity NameNew York General Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700315538
PECOS PAC ID: 7810255494
Enrollment ID: O20180103003151
Entity NameNv Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210831002021
Entity NameGuardian Biologics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033890876
PECOS PAC ID: 8123481470
Enrollment ID: O20240208001480
Entity NameRebirth Advanced Healing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174390413
PECOS PAC ID: 5698125581
Enrollment ID: O20240227000781

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. Kim Bova 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 AddressPractice Location Address
Kim Bova, NP
405 Helfer Ln,
Minoa, NY 13116-1013

Ph: (315) 278-7605		Kim Bova, NP
700 E Brighton Ave,
Syracuse, NY 13205-2201

Ph: (315) 413-3200

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.