Shyrlena L Bogard, MD is a medicare enrolled "Clinic/center" physician in Peru, Illinois. Her current practice location is
920 West St, Bldg B, Peru, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 223-2944.
Shyrlena L Bogard is licensed to practice in Illinois (license number 036.126361) 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 1467615898.
Physician's Profile
Full Name | Shyrlena L Bogard |
---|
Gender | Female |
---|
Speciality | Clinic/center |
---|
Location | 920 West St, Peru, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1467615898
- Provider Enumeration Date: 07/07/2008
- Last Update Date: 07/31/2015
Medicare PECOS Information:
- PECOS PAC ID: 6204025836
- Enrollment ID: I20110112000551
Medical Identifiers
Medical identifiers for Shyrlena L Bogard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467615898 | NPI | - | NPPES |
036126361 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207VG0400X | Obstetrics & Gynecology - Gynecology | 036126361 (Illinois) | Secondary |
207VX0000X | Obstetrics & Gynecology - Obstetrics | 036126361 (Illinois) | Secondary |
261Q00000X | Clinic/center | 036.126361 (Illinois) | 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. Shyrlena L Bogard allows following entities to bill medicare on her behalf.
Entity Name | Freeport Memorial Hospital |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1447228788 PECOS PAC ID: 8426958232 Enrollment ID: O20040109000305 |
---|
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. Shyrlena L Bogard 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 |
Shyrlena L Bogard, MD 1305 6th St, Peru, IL 61354-2759 Ph: (815) 780-5029 | Shyrlena L Bogard, MD 920 West St, Bldg B, Peru, IL 61354-2763 Ph: (815) 223-2944 |
Reviews and Comments