Todd Bohannon, MD is a medicare enrolled "Emergency Medicine" physician in Benton, Kentucky. His current practice location is
503 George Mcclain Dr, Benton, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 527-8144.
Todd Bohannon is licensed to practice in Kentucky (license number 33599) 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 1740381276.
Physician's Profile
| Full Name | Todd Bohannon |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 503 George Mcclain Dr, Benton, 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: 1740381276
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 01/18/2008
Medicare PECOS Information:
- PECOS PAC ID: 6103893615
- Enrollment ID: I20040914000885
Medical Identifiers
Medical identifiers for Todd Bohannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740381276 | NPI | - | NPPES |
| 64005317 | Medicaid | KY | |
| 000000056871 | Other | KY | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 33599 (Kentucky) | Primary |
| 207Q00000X | Family Medicine | 33599 (Kentucky) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | 33599 (Kentucky) | Secondary |
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. Todd Bohannon allows following entities to bill medicare on his behalf.
| Entity Name | Md Partners, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902101124
PECOS PAC ID: 6204018617
Enrollment ID: O20110307000459 |
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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. Todd Bohannon 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 |
|---|
Todd Bohannon, MD
1703 Johnson Blvd,
Murray, KY 42071-2264
Ph: (270) 761-1999 | Todd Bohannon, MD
503 George Mcclain Dr,
Benton, KY 42025-1331
Ph: (270) 527-8144 |
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