Chad Anthony Bogue, NP | |
3630 Willowcreek Rd, Portage, IN 46368-5075 | |
(219) 364-3700 | |
(219) 759-1197 |
Full Name | Chad Anthony Bogue |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 3630 Willowcreek Rd, Portage, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508411315 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LS0200X | Nurse Practitioner - School | 28163831A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 71009590A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwest Health - Porter | Valparaiso, IN | Hospital |
St Mary Medical Center Inc | Hobart, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Porter Physician Services Llc | 1850482407 | 91 |
Entity Name | Porter Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409 |
Mailing Address | Practice Location Address |
---|---|
Chad Anthony Bogue, NP 2022 Kelle Dr, Chesterton, IN 46304-8708 Ph: (219) 364-3616 | Chad Anthony Bogue, NP 3630 Willowcreek Rd, Portage, IN 46368-5075 Ph: (219) 364-3700 |
Lauren A Ostrowski-winkler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3564 Scottsdale St, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-3251 | |
Roxanne Gayle Robinson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3691 Willowcreek Rd, Portage, IN 46368 Phone: 219-921-1444 Fax: 219-921-5303 | |
Jeanne B Schramm, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3175 Lancer St, Portage, IN 46368 Phone: 219-762-9571 | |
Sara Elizabeth Berry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6450 Us Highway 6, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-764-6348 | |
Sheila Watson, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3170 Willowcreek Rd, Portage, IN 46368 Phone: 219-947-6628 | |
Jessica Rose Baldwin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 | |
Patricia Evelyn Biel, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3170 Willowcreek Rd, Portage, IN 46368 Phone: 219-947-6385 Fax: 219-703-6787 |