Carla Hogan, in Broomall, PA - Medicare Nurse Practitioner

Carla Hogan, is a medicare enrolled "Nurse Practitioner" in Broomall, Pennsylvania. Her current practice location is 20 Kimberly Way, Broomall, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (445) 345-1953.

Carla Hogan is licensed to practice in Pennsylvania (license number SP015220) 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 1508233446.

Contact Information

	Carla Hogan,
	20 Kimberly Way, Broomall, PA 19008-1057
	(445) 345-1953
	Not Available

Map and Direction

Provider's Profile

Full Name	Carla Hogan
Gender	Female
Speciality	Nurse Practitioner
Location	20 Kimberly Way, Broomall, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508233446
Provider Enumeration Date: 08/26/2015
Last Update Date: 01/10/2023

Medicare PECOS Information:

PECOS PAC ID: 7618279241
Enrollment ID: I20160113001503

Medical Identifiers

Medical identifiers for Carla Hogan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508233446	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP015220 (Pennsylvania)	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. Carla Hogan allows following entities to bill medicare on her behalf.

Entity Name	Prospect Health Access Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737

Entity Name	Longevity Long Term Medical Care Of Pennsylvania Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720796196 PECOS PAC ID: 0042680506 Enrollment ID: O20221228001937

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. Carla Hogan 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
Carla Hogan, 20 Kimberly Way, Broomall, PA 19008-1057 Ph: (445) 345-1953	Carla Hogan, 20 Kimberly Way, Broomall, PA 19008-1057 Ph: (445) 345-1953

Reviews and Comments

Nurse Practitioner Nurses in Broomall, PA

Michele Bramley, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1991 Sproul Rd, Suite 300, Broomall, PA 19008 Phone: 610-325-1390 Fax: 610-325-1373
Ms. Gilda Audrey Johnson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1991 Sproul Rd, Suite 300, Broomall, PA 19008 Phone: 610-325-1390 Fax: 610-325-1373
Lisa Marie Smith, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Abbott Dr, Broomall, PA 19008 Phone: 888-227-3898
Caroline Wilkinson, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 Winchester Rd, Broomall, PA 19008 Phone: 610-731-7636
Ann Marie Daly Bradley, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30 Lawrence Rd Ste 201, Broomall, PA 19008 Phone: 610-492-5911
Sharon Hunter, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 Sproul Road, Suite 206, Broomall, PA 19008 Phone: 610-284-0200 Fax: 610-353-7932
Mrs. Jacquelyn Elizabeth Mowday, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1991 Sproul Rd, Suite 200, Broomall, PA 19008 Phone: 610-325-1350 Fax: 610-325-1357

Carla Hogan, - Medicare Nurse Practitioner in Broomall, PA