Luz Fabiola Bogle, PA-C is a medicare enrolled "Physician Assistant" in Alachua, Florida. Her current practice location is
14822 Main St, Alachua, Florida. You can reach out to her office (for appointments etc.) via phone at
(386) 518-6089.
Luz Fabiola Bogle is licensed to practice in Florida (license number PA9113683) 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 1700483260.
Provider's Profile
Full Name | Luz Fabiola Bogle |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 14822 Main St, Alachua, Florida |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700483260
- Provider Enumeration Date: 10/07/2020
- Last Update Date: 06/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921405713
- Enrollment ID: I20210921002524
Medical Identifiers
Medical identifiers for Luz Fabiola Bogle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700483260 | NPI | - | NPPES |
PA9113683 | Other | FL | PHYSICIAN ASSISTANT LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA9113683 (Florida) | Primary |
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. Luz Fabiola Bogle 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 |
Luz Fabiola Bogle, PA-C 4687 Merlot Dr, Rockledge, FL 32955-5192 Ph: (321) 423-0777 | Luz Fabiola Bogle, PA-C 14822 Main St, Alachua, FL 32615-8590 Ph: (386) 518-6089 |
Reviews and Comments