Clifford Bogan, in Wentzville, MO - Medicare Physical Therapist Provider

Clifford Bogan, is a medicare enrolled "Physical Therapist" provider in Wentzville, Missouri. His current practice location is 1832 Wentzville Pkwy, Wentzville, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 327-7110.

Clifford Bogan is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790468676.

Contact Information

	Clifford Bogan,
	1832 Wentzville Pkwy, Wentzville, MO 63385-3817
	(636) 327-7110
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Clifford Bogan
Gender	Male
Speciality	Physical Therapist
Location	1832 Wentzville Pkwy, Wentzville, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790468676
Provider Enumeration Date: 08/08/2023
Last Update Date: 08/08/2023

Medicare PECOS Information:

PECOS PAC ID: 5890157952
Enrollment ID: I20230822001175

Medical Identifiers

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

Identifier	Type	State	Issuer
1790468676	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Clifford Bogan allows following entities to bill medicare on his behalf.

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1114449857 PECOS PAC ID: 4789602681 Enrollment ID: O20171211002357

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. Clifford 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
Clifford Bogan, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: () -	Clifford Bogan, 1832 Wentzville Pkwy, Wentzville, MO 63385-3817 Ph: (636) 327-7110

Reviews and Comments

Physical Therapist in Wentzville, MO

Nicholas Joseph Schwent, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1428 W Meyer Rd, Wentzville, MO 63385 Phone: 636-887-3660
Advanced Training And Rehab Physical Therapist Medicare: Medicare Enrolled Practice Location: 1229 Wentzville Pkwy, Suite 209, Wentzville, MO 63385 Phone: 314-453-9997
Ms. Carolyn M.b. Livergood, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1428 W Meyer Rd, Wentzville, MO 63385 Phone: 636-327-3333 Fax: 636-327-6383
Jennifer Whelan, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1428 W Meyer Rd, Wentzville, MO 63385 Phone: 636-887-3660
Dr. Shelby Reynoso, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 280 Interstate Dr, Wentzville, MO 63385 Phone: 636-327-3800
Cynthia Alvino, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 332 Stable Ln, Wentzville, MO 63385 Phone: 636-332-4940 Fax: 636-332-4941
Andrew D Cartmill, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1832 Wentzville Pkwy, Wentzville, MO 63385 Phone: 636-327-7110 Fax: 636-327-7135

Clifford Bogan, - Medicare Physical Therapist in Wentzville, MO