Mrs Samantha Bogan, NP in New York, NY - Medicare Nurse Practitioner

Mrs Samantha Bogan, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in New York, New York. Her current practice location is 1601 3rd Ave, New York, New York. You can reach out to her office (for appointments etc.) via phone at (516) 622-6000.

Mrs Samantha Bogan is licensed to practice in New York (license number 383031) 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 1811547763.

Contact Information

	Mrs Samantha Bogan, NP
	1601 3rd Ave, New York, NY 10128-3416
	(516) 622-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Samantha Bogan
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1601 3rd Ave, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811547763
Provider Enumeration Date: 09/12/2019
Last Update Date: 09/12/2019

Medicare PECOS Information:

PECOS PAC ID: 3870924566
Enrollment ID: I20200513001636

Medical Identifiers

Medical identifiers for Mrs Samantha Bogan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811547763	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	383031 (New York)	Primary

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. Mrs Samantha Bogan allows following entities to bill medicare on her behalf.

Entity Name	Optum Medical Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321

Entity Name	Prohealth Care Associates Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468

Entity Name	Optum Urgent Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285975797 PECOS PAC ID: 8628299518 Enrollment ID: O20141017000598

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. Mrs Samantha Bogan 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
Mrs Samantha Bogan, NP 92 Hopkins Ave, Staten Island, NY 10306-3827 Ph: (917) 780-6910	Mrs Samantha Bogan, NP 1601 3rd Ave, New York, NY 10128-3416 Ph: (516) 622-6000

Reviews and Comments

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Mrs Samantha Bogan, NP - Medicare Nurse Practitioner in New York, NY