Jennifer Kim Bogan, MD | |
11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | |
(952) 595-1301 | |
(612) 294-4903 |
Full Name | Jennifer Kim Bogan |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 28 Years |
Location | 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720058001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | ME125290 (Florida) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 29223 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner Baywood Medical Center | Mesa, AZ | Hospital |
Physicians Regional Medical Center - Pine Ridge | Naples, FL | Hospital |
Portsmouth Regional Hospital | Portsmouth, NH | Hospital |
Banner Casa Grande Medical Center | Casa grande, AZ | Hospital |
Banner Heart Hospital | Mesa, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sonoran Radiology Ltd | 3375964505 | 393 |
Virtual Radiologic Professionals Llc | 4981608817 | 352 |
Mori Bean And Brooks Inc | 8820077878 | 647 |
Entity Name | Virtual Radiologic Professionals Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932342029 PECOS PAC ID: 4981608817 Enrollment ID: O20061121000557 |
Entity Name | Radiology Associates Of South Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699759183 PECOS PAC ID: 5799689659 Enrollment ID: O20180207002145 |
Entity Name | Mori Bean And Brooks Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20180213003165 |
Entity Name | Baker Community Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396807319 PECOS PAC ID: 3779689807 Enrollment ID: O20190129003939 |
Entity Name | Sonoran Radiology Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20200526002412 |
Entity Name | Integrated Imaging Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700285335 PECOS PAC ID: 2567784408 Enrollment ID: O20201119002100 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Kim Bogan, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301 | Jennifer Kim Bogan, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301 |
Norna L. Karp, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Christopher Calixte, MD Radiology Medicare: Medicare Enrolled Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Paul D Guisler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Rati N Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Jacob Gebrael, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Susanne S. Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Gwendolyn Durgin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 |