Dr David F Bogacki, PHD is a medicare enrolled "Psychologist" physician in Camden, New Jersey. His current practice location is
3 Cooper Plz, Suite 307, Camden, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 342-2328.
Dr David F Bogacki is licensed to practice in New Jersey (license number 35SI00177700) 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 1912095977.
Physician's Profile
| Full Name | Dr David F Bogacki |
|---|
| Gender | Male |
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| Speciality | Psychologist |
|---|
| Location | 3 Cooper Plz, Camden, New Jersey |
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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: 1912095977
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 11/20/2019
Medicare PECOS Information:
- PECOS PAC ID: 9436198116
- Enrollment ID: I20050502001160
Medical Identifiers
Medical identifiers for Dr David F Bogacki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912095977 | NPI | - | NPPES |
| 0101145000 | Other | | AMERIHEALTH HMO, KEYSTONE, IBC |
| 001664070 | Other | | AMERIHEALTH PPO |
| 010003754 | Other | | AMERICHOICE |
| 293304000 | Other | | MAGELLAN |
| 620004717 | Other | | RR MEDICARE |
| 1127825 | Other | | HORIZON NJ HEALTH |
| 4528678 | Other | | AETNA |
| 1339303 | Medicaid | NJ | |
| 24702 | Other | | UNIVERSITY HEALTHPLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | SI00177700 (New Jersey) | Secondary |
| 103T00000X | Psychologist | 35SI00177700 (New Jersey) | 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 David F Bogacki allows following entities to bill medicare on his behalf.
| Entity Name | Cmc Psychiatric Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982646634
PECOS PAC ID: 2264401686
Enrollment ID: O20041001000003 |
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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 David F Bogacki 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 David F Bogacki, PHD
1 Federal St # 200,
Camden, NJ 08103-1088
Ph: (856) 356-4924 | Dr David F Bogacki, PHD
3 Cooper Plz, Suite 307,
Camden, NJ 08103-1438
Ph: (856) 342-2328 |
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