Jack Gordon Ogilvie, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Worthington, Ohio. His current practice location is
350 W Wilson Bridge Rd, Worthington, Ohio. You can reach out to his office (for appointments etc.) via phone at
(614) 396-2684.
Jack Gordon Ogilvie is licensed to practice in Ohio (license number 35.150121) 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 1467940684.
Physician's Profile
Full Name | Jack Gordon Ogilvie |
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Gender | Male |
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Speciality | Radiology - Vascular & Interventional Radiology |
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Location | 350 W Wilson Bridge Rd, Worthington, Ohio |
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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: 1467940684
- Provider Enumeration Date: 04/23/2018
- Last Update Date: 07/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527507565
- Enrollment ID: I20240822001479
Medical Identifiers
Medical identifiers for Jack Gordon Ogilvie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467940684 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0204X | Radiology - Vascular & Interventional Radiology | 35.150121 (Ohio) | 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. Jack Gordon Ogilvie allows following entities to bill medicare on his behalf.
Entity Name | Central Ohio Urology Group, Llc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396780466 PECOS PAC ID: 5395758882 Enrollment ID: O20060731000201 |
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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. Jack Gordon Ogilvie 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 |
Jack Gordon Ogilvie, MD 701 Tech Center Dr Ste 250, Gahanna, OH 43230-1987 Ph: (614) 396-2684 | Jack Gordon Ogilvie, MD 350 W Wilson Bridge Rd, Worthington, OH 43085-2585 Ph: (614) 396-2684 |
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