Ms Rebekah B Bogan, FNP is a medicare enrolled "Nurse Practitioner - Family" in Cairo, Illinois. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Health And Emergency Services Inc and her current practice location is
13245 Kessler Rd, Cairo, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 734-4400.
Ms Rebekah B Bogan is licensed to practice in Illinois (license number 277001252) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720330608.
Provider's Profile
| Full Name | Ms Rebekah B Bogan |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 13245 Kessler Rd, Cairo, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Rebekah B Bogan graduated from nursing school in 2012
NPI Data:
- NPI Number: 1720330608
- Provider Enumeration Date: 10/03/2012
- Last Update Date: 02/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 3870729387
- Enrollment ID: I20140320000433
Medical Identifiers
Medical identifiers for Ms Rebekah B Bogan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720330608 | NPI | - | NPPES |
| 1720330608 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 041407232 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209010690 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 277001252 (Illinois) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 2012033119 (Missouri) | Secondary |
| 163W00000X | Registered Nurse | 2009015162 (Missouri) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Community Health And Emergency Services Inc | 0749194702 | 8 |
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. Ms Rebekah B Bogan allows following entities to bill medicare on her behalf.
| Entity Name | Community Health & Emergency Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710979588
PECOS PAC ID: 0749194702
Enrollment ID: O20040330000765 |
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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. Ms Rebekah B 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 |
|---|
Ms Rebekah B Bogan, FNP
Po Box 3008,
Carbondale, IL 62902-3008
Ph: (618) 457-0450 | Ms Rebekah B Bogan, FNP
13245 Kessler Rd,
Cairo, IL 62914-3101
Ph: (618) 734-4400 |
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