Dr Henry Cabot Lodge Bohler Jr, MD is a medicare enrolled "Obstetrics & Gynecology - Obesity Medicine" physician in Prospect, Kentucky. His current practice location is
9412 Civic Way Apt 210, Prospect, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 373-0110.
Dr Henry Cabot Lodge Bohler Jr is licensed to practice in Kentucky (license number 38316) 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 1366475568.
Physician's Profile
| Full Name | Dr Henry Cabot Lodge Bohler Jr |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology - Obesity Medicine |
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| Location | 9412 Civic Way Apt 210, Prospect, Kentucky |
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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: 1366475568
- Provider Enumeration Date: 07/09/2006
- Last Update Date: 01/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597754184
- Enrollment ID: I20040510000285
Medical Identifiers
Medical identifiers for Dr Henry Cabot Lodge Bohler Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366475568 | NPI | - | NPPES |
| 200463200 | Medicaid | IN | |
| 64924855 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 38316 (Kentucky) | Secondary |
| 207VE0102X | Obstetrics & Gynecology - Reproductive Endocrinology | 38316 (Kentucky) | Secondary |
| 207VB0002X | Obstetrics & Gynecology - Obesity Medicine | 38316 (Kentucky) | 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 Henry Cabot Lodge Bohler Jr allows following entities to bill medicare on his behalf.
| Entity Name | University Of Louisville Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366722316
PECOS PAC ID: 3476725599
Enrollment ID: O20111017000036 |
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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 Henry Cabot Lodge Bohler Jr 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 Henry Cabot Lodge Bohler Jr, MD
9412 Civic Way Apt 210,
Prospect, KY 40059-5103
Ph: (502) 444-5767 | Dr Henry Cabot Lodge Bohler Jr, MD
9412 Civic Way Apt 210,
Prospect, KY 40059-5103
Ph: (502) 373-0110 |
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