Ryan Edmund Bogrette, DPT in South Boston, MA - Medicare Physical Therapist Provider

Ryan Edmund Bogrette, DPT is a medicare enrolled "Physical Therapist" provider in South Boston, Massachusetts. His current practice location is 379 W Broadway, South Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 968-3999.

Ryan Edmund Bogrette is licensed to practice in Massachusetts (license number 26241) 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 1265163315.

Contact Information

	Ryan Edmund Bogrette, DPT
	379 W Broadway, South Boston, MA 02127-2217
	(617) 968-3999
	(617) 752-4127

Map and Direction

Healthcare Provider's Profile

Full Name	Ryan Edmund Bogrette
Gender	Male
Speciality	Physical Therapist
Location	379 W Broadway, South Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265163315
Provider Enumeration Date: 06/20/2022
Last Update Date: 03/01/2024

Medicare PECOS Information:

PECOS PAC ID: 6204202948
Enrollment ID: I20221020000856

Medical Identifiers

Medical identifiers for Ryan Edmund Bogrette such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265163315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	26241 (Massachusetts)	Primary
225100000X	Physical Therapist	(Connecticut)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(Connecticut)	Secondary

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. Ryan Edmund Bogrette allows following entities to bill medicare on his behalf.

Provider Name	Performance Rehabilitation Of Western New England Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1710919063 PECOS PAC ID: 7911979950 Enrollment ID: O20040810000712

Provider Name	Lisa Scialla Dpt Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1013520881 PECOS PAC ID: 3779993191 Enrollment ID: O20210408000271

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. Ryan Edmund Bogrette 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
Ryan Edmund Bogrette, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Ryan Edmund Bogrette, DPT 379 W Broadway, South Boston, MA 02127-2217 Ph: (617) 968-3999

Reviews and Comments

Physical Therapist in South Boston, MA

Sarah Lewis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 386 W Broadway Fl 1, South Boston, MA 02127 Phone: 617-752-4672
Mr. Timothy Campbell Kiley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 377 W Broadway, South Boston, MA 02127 Phone: 617-752-4672 Fax: 617-752-4643
Jillian O'connell, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 386 W Broadway Fl 1, South Boston, MA 02127 Phone: 617-752-4672
Virginia Stalnaker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 470 W Broadway Ste 2, South Boston, MA 02127 Phone: 617-752-4643
Ms. Justine Beauchamp Henderson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 377 W Broadway, South Boston, MA 02127 Phone: 617-752-4643
Kelsey Hanahan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 386 W Broadway Fl 1, South Boston, MA 02127 Phone: 617-752-4672 Fax: 617-752-4643

Ryan Edmund Bogrette, DPT - Medicare Physical Therapist in South Boston, MA