Dr Brandon Coy Bogle, PHD is a medicare enrolled "Psychologist - Clinical" provider in Rural Retreat, Virginia. His current practice location is
514 N Main St, Rural Retreat, Virginia. You can reach out to his office (for appointments etc.) via phone at
(888) 365-6271.
Dr Brandon Coy Bogle is licensed to practice in Virginia (license number 0810004813) 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 1699082479.
Healthcare Provider's Profile
| Full Name | Dr Brandon Coy Bogle |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 514 N Main St, Rural Retreat, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699082479
- Provider Enumeration Date: 09/01/2010
- Last Update Date: 09/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 4880828490
- Enrollment ID: I20131015001563
Medical Identifiers
Medical identifiers for Dr Brandon Coy Bogle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699082479 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 0810004813 (Virginia) | 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. Dr Brandon Coy Bogle allows following entities to bill medicare on his behalf.
| Entity Name | St. Charles Health Council Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801013354
PECOS PAC ID: 0244124584
Enrollment ID: O20040209001103 |
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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. Dr Brandon Coy Bogle 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 |
|---|
Dr Brandon Coy Bogle, PHD
7272 Wurzbach Rd Ste 601,
San Antonio, TX 78240-4803
Ph: (210) 615-3483 | Dr Brandon Coy Bogle, PHD
514 N Main St,
Rural Retreat, VA 24368-3123
Ph: (888) 365-6271 |
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