Mr Kevin Richard Bogstad, MA LPC is a medicare enrolled "Psychologist - Counseling" provider in Colorado Springs, Colorado. His current practice location is
1115 Elkton Dr Ste 300, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at
(951) 837-3722.
Mr Kevin Richard Bogstad is licensed to practice in Colorado (license number LPC.0014136) 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 1124193180.
Healthcare Provider's Profile
Full Name | Mr Kevin Richard Bogstad |
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Gender | Male |
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Speciality | Psychologist - Counseling |
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Location | 1115 Elkton Dr Ste 300, Colorado Springs, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124193180
- Provider Enumeration Date: 11/22/2006
- Last Update Date: 11/20/2017
Medicare PECOS Information:
- PECOS PAC ID: 1951777002
- Enrollment ID: I20240223002005
Medical Identifiers
Medical identifiers for Mr Kevin Richard Bogstad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124193180 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC1900X | Psychologist - Counseling | LPC.0014136 (Colorado) | 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. Mr Kevin Richard Bogstad allows following entities to bill medicare on his behalf.
Entity Name | Peak Therapeutic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053896415 PECOS PAC ID: 8224404371 Enrollment ID: O20221014001927 |
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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. Mr Kevin Richard Bogstad 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 |
Mr Kevin Richard Bogstad, MA LPC 1115 Elkton Dr Ste 300, Colorado Springs, CO 80907-3597 Ph: (951) 837-3722 | Mr Kevin Richard Bogstad, MA LPC 1115 Elkton Dr Ste 300, Colorado Springs, CO 80907-3597 Ph: (951) 837-3722 |
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