Edmund Bongolan, ARNP in Tampa, FL - Medicare Nurse Practitioner

Edmund Bongolan, ARNP is a medicare enrolled "Nurse Practitioner" in Tampa, Florida. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Farhan Siddiqi Md Pa and his current practice location is 701 N West Shore Blvd, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 533-7080.

Edmund Bongolan is licensed to practice in Florida (license number ARNP9310211) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073037297.

Contact Information

	Edmund Bongolan, ARNP
	701 N West Shore Blvd, Tampa, FL 33609-1122
	(813) 533-7080
	Not Available

Map and Direction

Provider's Profile

Full Name	Edmund Bongolan
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	701 N West Shore Blvd, Tampa, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Edmund Bongolan graduated from nursing school in 2016

NPI Data:

NPI Number: 1073037297
Provider Enumeration Date: 07/30/2017
Last Update Date: 08/20/2020

Medicare PECOS Information:

PECOS PAC ID: 3173889847
Enrollment ID: I20171113002887

Medical Identifiers

Medical identifiers for Edmund Bongolan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073037297	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	ARNP9310211 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Farhan Siddiqi Md Pa	4284936113	18

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. Edmund Bongolan allows following entities to bill medicare on his behalf.

Entity Name	Farhan Siddiqi Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750752291 PECOS PAC ID: 4284936113 Enrollment ID: O20160108000664

Entity Name	Neuspine Institute Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861913857 PECOS PAC ID: 0648545129 Enrollment ID: O20171010000299

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. Edmund Bongolan 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
Edmund Bongolan, ARNP 5204 Hampton Beach Pl, Tampa, FL 33609-2498 Ph: (813) 732-1749	Edmund Bongolan, ARNP 701 N West Shore Blvd, Tampa, FL 33609-1122 Ph: (813) 533-7080

Reviews and Comments

Nurse Practitioner Nurses in Tampa, FL

Charmaine Henry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15511 N Florida Ave Ste 401, Tampa, FL 33613 Phone: 813-963-3124 Fax: 813-908-7808
Ms. Bridget Shoulders-odom, MS, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Bld, Tampa, FL 33612 Phone: 813-972-2000
Ms. Rhea Arlene Hurwitz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3001 W Martin Luther King Boulevard, Tampa, FL 33607 Phone: 813-554-8511
Dr. Leigh Nicole Montejo, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9527 Delaney Creek Blvd, Tampa, FL 33619 Phone: 813-615-5230
Mrs. Dawn Elizabeth White, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2901 W Saint Isabel St, Suite A3, Tampa, FL 33607 Phone: 813-872-4401
Crystal Elaine Blair, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000
Courtney Pariso, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 E 138th Ave, Suite 12, Tampa, FL 33613 Phone: 813-975-2800 Fax: 813-977-7631

Edmund Bongolan, ARNP - Medicare Nurse Practitioner in Tampa, FL