Mr Vincent Bernard Bogan, MSN-CRNA | |
9501 Farrell Rd, Dewitt Army Community Hospital, Fort Belvoir, VA 22060-5901 | |
(703) 805-0342 | |
(703) 805-0731 |
Full Name | Mr Vincent Bernard Bogan |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 9501 Farrell Rd, Fort Belvoir, Virginia |
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 |
---|---|---|---|
1174569263 | NPI | - | NPPES |
1174569263 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 0024164349 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wichita Ambulatory Anesthesia Providers Llc | 8921351123 | 6 |
Entity Name | Wichita Ambulatory Anesthesia Providers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649754789 PECOS PAC ID: 8921351123 Enrollment ID: O20181105000905 |
Mailing Address | Practice Location Address |
---|---|
Mr Vincent Bernard Bogan, MSN-CRNA 8402 Sego Lily Ct, Lorton, VA 22079 Ph: (703) 919-7859 | Mr Vincent Bernard Bogan, MSN-CRNA 9501 Farrell Rd, Dewitt Army Community Hospital, Fort Belvoir, VA 22060-5901 Ph: (703) 805-0342 |
Mrs. Constance Louise Jenkins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-2890 | |
Mrs. Connie Jean Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9501 Farrell Rd, Fort Belvoir, VA 22060 Phone: 703-805-0004 | |
Christopher Joseph Grey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3224 | |
Jacob Macgregor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9300 Dewit Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 Phone: 571-231-4578 | |
Mrs. Cathy Elizabeth Peuterbaugh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Us Army Medical Dept, 9501 Farrell Rd, Fort Belvoir, VA 22060 Phone: 703-805-0923 | |
Chris Noel Angeles, CRNA, MSN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 Phone: 571-231-3224 |