Emily Johannah Rogers, is a medicare enrolled "Obstetrics & Gynecology" physician in Fort Leonard Wood, Missouri. Her current practice location is
4430 Missouri Ave, Fort Leonard Wood, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 596-1770.
Emily Johannah Rogers is licensed to practice in Virginia (license number 0101261602) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619363033.
Physician's Profile
| Full Name | Emily Johannah Rogers |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 4430 Missouri Ave, Fort Leonard Wood, Missouri |
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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: 1619363033
- Provider Enumeration Date: 04/13/2015
- Last Update Date: 03/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 4183021538
- Enrollment ID: I20240228003205
Medical Identifiers
Medical identifiers for Emily Johannah Rogers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619363033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 0101261602 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 0101261602 (Virginia) | 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. Emily Johannah Rogers allows following entities to bill medicare on her behalf.
| Entity Name | Obhg Kentucky Psc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457644122
PECOS PAC ID: 5496910200
Enrollment ID: O20120628000666 |
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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. Emily Johannah Rogers 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 |
|---|
Emily Johannah Rogers,
4430 Missouri Ave,
Fort Leonard Wood, MO 65473-9098
Ph: (573) 596-1770 | Emily Johannah Rogers,
4430 Missouri Ave,
Fort Leonard Wood, MO 65473-9098
Ph: (573) 596-1770 |
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