- Medicare Primary Care in Bolivar, NY

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is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Bolivar, New York. The current practice location for is 120 1st St, Bolivar, New York. For appointments, you can reach them via phone at (585) 928-1600. The mailing address for is 191 N Main St, Wellsville, New York and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1477176667. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (585) 928-1600.

Contact Information

120 1st St
Bolivar
NY 14715-1132
(585) 928-1600
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location120 1st St, Bolivar, New York
Authorized Official Name and PositionCasey Lathers (PFS SUPERVISOR)
Authorized Official Contact5855962052
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

191 N Main St
Wellsville
NY 14895-1150

Ph: () -
120 1st St
Bolivar
NY 14715-1132

Ph: (585) 928-1600

NPI Details:

NPI Number1477176667
Provider Enumeration Date05/21/2020
Last Update Date03/10/2021

Medicare PECOS Information:

Medicare PECOS PAC ID7012828486
Medicare Enrollment IDO20191028000716

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477176667NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

Reviews and Comments


Clinic/Center in Bolivar, NY


Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7760 Route 417 W, Bolivar, NY 14715
Phone: 585-928-1657    Fax: 585-928-1625

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.