Dr Thomas Paul Bogaard, MD is a medicare enrolled "Specialist" physician in Los Angeles, California. His current practice location is
1401 S Grand Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(213) 802-0100.
Dr Thomas Paul Bogaard is licensed to practice in California (license number G21222) 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 1861438004.
Physician's Profile
Full Name | Dr Thomas Paul Bogaard |
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Gender | Male |
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Speciality | Specialist |
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Location | 1401 S Grand Ave, Los Angeles, California |
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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: 1861438004
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961470794
- Enrollment ID: I20051222000703
Medical Identifiers
Medical identifiers for Dr Thomas Paul Bogaard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861438004 | NPI | - | NPPES |
00G21220 | Medicaid | CA | |
RHD113967 | Other | CA | X-RAY LC |
00G21220 | Other | CA | CCS |
05D0726009 | Other | CA | CLIA NO |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | G21222 (California) | Secondary |
174400000X | Specialist | G21222 (California) | 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 Thomas Paul Bogaard allows following entities to bill medicare on his behalf.
Entity Name | Mendez Transplant And Urological Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528154507 PECOS PAC ID: 9436136744 Enrollment ID: O20040706000398 |
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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 Thomas Paul Bogaard 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 Thomas Paul Bogaard, MD Po Box 1004, Sierra Madre, CA 91025-4004 Ph: (818) 378-1025 | Dr Thomas Paul Bogaard, MD 1401 S Grand Ave, Los Angeles, CA 90015-3010 Ph: (213) 802-0100 |
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