Mr Jack Bogart Jr, CRNP in Williamsport, PA - Medicare Nurse Practitioner

Mr Jack Bogart Jr, CRNP is a medicare enrolled "Nurse Practitioner" in Williamsport, Pennsylvania. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Evangelical Medical Services Organization and his current practice location is 740 High St, Suite 2001, Williamsport, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 321-2800.

Mr Jack Bogart Jr is licensed to practice in Pennsylvania (license number SP011577) 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 1790066223.

Contact Information

	Mr Jack Bogart Jr, CRNP
	740 High St, Suite 2001, Williamsport, PA 17701-3102
	(570) 321-2800
	(570) 321-3351

Map and Direction

Provider's Profile

Full Name	Mr Jack Bogart Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	13 Years
Location	740 High St, Williamsport, Pennsylvania
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:

Mr Jack Bogart Jr graduated from nursing school in 2011

NPI Data:

NPI Number: 1790066223
Provider Enumeration Date: 08/29/2011
Last Update Date: 09/09/2015

Medicare PECOS Information:

PECOS PAC ID: 2769653443
Enrollment ID: I20110929000526

Medical Identifiers

Medical identifiers for Mr Jack Bogart Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790066223	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN547739 (Pennsylvania)	Secondary
363L00000X	Nurse Practitioner	SP011577 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Evangelical Community Hospital	Lewisburg, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Evangelical Medical Services Organization	9133033087	244

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. Mr Jack Bogart Jr allows following entities to bill medicare on his behalf.

Entity Name	Evangelical Medical Services Organization
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295834984 PECOS PAC ID: 9133033087 Enrollment ID: O20040310000212

Entity Name	Advanced Inpatient Medicine Lehigh Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437537875 PECOS PAC ID: 7416269741 Enrollment ID: O20150630000466

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. Mr Jack Bogart Jr 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
Mr Jack Bogart Jr, CRNP 1201 Grampian Blvd, Williamsport, PA 17701-1900 Ph: () -	Mr Jack Bogart Jr, CRNP 740 High St, Suite 2001, Williamsport, PA 17701-3102 Ph: (570) 321-2800

Reviews and Comments

Nurse Practitioner Nurses in Williamsport, PA

Lucas Charles Mariano, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 3002, Williamsport, PA 17701 Phone: 570-321-2820 Fax: 570-321-2821
Mrs. Mindi Nichols, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7691 Fax: 570-320-7898
Ms. Sonya Miles, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400 Fax: 570-567-5421
Ashlee Leigh Hall, CRNP, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 High St, Williamsport, PA 17701 Phone: 570-321-2810 Fax: 570-321-2811
Merete Vogelsong, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St Ste 2001, Suite 2001, Williamsport, PA 17701 Phone: 570-321-2800
Michelle Marie Dangle, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400
Rebecca Rhone, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 740 High St, Suite 2001, Williamsport, PA 17701 Phone: 570-321-3165

Mr Jack Bogart Jr, CRNP - Medicare Nurse Practitioner in Williamsport, PA