David Gregory Hogan, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Pawtucket, Rhode Island. His current practice location is
101 Bucklin St, Pawtucket, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(808) 990-3688.
David Gregory Hogan is licensed to practice in Rhode Island (license number CSW03344) 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 1134801897.
Healthcare Provider's Profile
| Full Name | David Gregory Hogan |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 101 Bucklin St, Pawtucket, Rhode Island |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1134801897
- Provider Enumeration Date: 08/02/2023
- Last Update Date: 08/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 6406204387
- Enrollment ID: I20231204000758
Medical Identifiers
Medical identifiers for David Gregory Hogan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134801897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CSW03344 (Rhode Island) | Secondary |
| 101YM0800X | Counselor - Mental Health | CSW03344 (Rhode Island) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW03344 (Rhode Island) | 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. David Gregory Hogan allows following entities to bill medicare on his behalf.
| Entity Name | Gateway Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821078932
PECOS PAC ID: 7719874908
Enrollment ID: O20040302001066 |
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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. David Gregory Hogan 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 |
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David Gregory Hogan, LCSW
101 Bucklin St,
Pawtucket, RI 02861-1965
Ph: () - | David Gregory Hogan, LCSW
101 Bucklin St,
Pawtucket, RI 02861-1965
Ph: (808) 990-3688 |
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