Dr Paul K Pogue, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Evansville, Indiana. His current practice location is
550 W Virginia St, Evansville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 425-5194.
Dr Paul K Pogue is licensed to practice in Illinois (license number 12007722) 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 1609923804.
Healthcare Provider's Profile
| Full Name | Dr Paul K Pogue |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 550 W Virginia St, Evansville, Indiana |
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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: 1609923804
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 09/10/2015
Medicare PECOS Information:
- PECOS PAC ID: 4981789104
- Enrollment ID: I20111128000561
Medical Identifiers
Medical identifiers for Dr Paul K Pogue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609923804 | NPI | - | NPPES |
| 100246120 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12007722 (Indiana) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 12007722 (Illinois) | 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 Paul K Pogue allows following entities to bill medicare on his behalf.
| Entity Name | Oral Surgery Group Of Evansville Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467506188
PECOS PAC ID: 5991880106
Enrollment ID: O20080312000517 |
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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. Dr Paul K Pogue 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 Paul K Pogue, DDS
550 W Virginia St,
Evansville, IN 47710-1614
Ph: (812) 425-5194 | Dr Paul K Pogue, DDS
550 W Virginia St,
Evansville, IN 47710-1614
Ph: (812) 425-5194 |
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