Mrs Doresea L Lewis-bogan, APRN,BC in Detroit, MI

Mrs Doresea L Lewis-bogan, APRN,BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Detroit, Michigan. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Henry Ford Medical Group, University Physician Group, Neighborhood Service Organization and her current practice location is 6309 Mack Ave, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 331-3435.

Mrs Doresea L Lewis-bogan is licensed to practice in Michigan (license number 4704241492) 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 1124218466.

Contact Information

	Mrs Doresea L Lewis-bogan, APRN,BC
	6309 Mack Ave, Detroit, MI 48207-2302
	(313) 331-3435
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Doresea L Lewis-bogan
Gender	Female
Speciality	Nurse Practitioner
Experience	19 Years
Location	6309 Mack Ave, Detroit, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Doresea L Lewis-bogan graduated from nursing school in 2005

NPI Data:

NPI Number: 1124218466
Provider Enumeration Date: 08/01/2007
Last Update Date: 01/18/2022

Medicare PECOS Information:

PECOS PAC ID: 7315182979
Enrollment ID: I20130402000289

Medical Identifiers

Medical identifiers for Mrs Doresea L Lewis-bogan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124218466	NPI	-	NPPES
1124218466	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704241492 (Michigan)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4704241492 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Medical Group	0547178311	2095
University Physician Group	8628087681	345
Neighborhood Service Organization	7113907387	9

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 Doresea L Lewis-bogan allows following entities to bill medicare on her behalf.

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341

Entity Name	University Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518

Entity Name	Ismail B Sendi Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609882067 PECOS PAC ID: 4688674534 Enrollment ID: O20061228000140

Entity Name	Team Mental Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588855100 PECOS PAC ID: 2264451830 Enrollment ID: O20081030000384

Entity Name	Pocs Mental Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689901993 PECOS PAC ID: 8729115779 Enrollment ID: O20100422000461

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 Doresea L Lewis-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 Doresea L Lewis-bogan, APRN,BC 4340 Leslie St, Detroit, MI 48238-3245 Ph: (734) 502-7308	Mrs Doresea L Lewis-bogan, APRN,BC 6309 Mack Ave, Detroit, MI 48207-2302 Ph: (313) 331-3435

Reviews and Comments

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Mrs Doresea L Lewis-bogan, APRN,BC - Medicare Nurse Practitioner in Detroit, MI