| James Michael Bogan, | |
|
17011 State Road 50 Ste 301, Clermont, FL 34711-8203 | |
| (337) 693-5248 | |
| Not Available |
| Full Name | James Michael Bogan |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 43 Years |
| Location | 17011 State Road 50 Ste 301, Clermont, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215149521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW0001572 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Personal Recovery Network Llc | 5092611384 | 453 |
| Entity Name | Personal Recovery Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20200416000590 |
| Mailing Address | Practice Location Address |
|---|---|
| James Michael Bogan, 5979 Vineland Rd, Orlando, FL 32819-7800 Ph: (407) 647-1781 | James Michael Bogan, 17011 State Road 50 Ste 301, Clermont, FL 34711-8203 Ph: (337) 693-5248 |
Altagrace K Souverain, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2140 N Don Wickham Dr, Clermont, FL 34711 Phone: 352-394-5922 | |
Pamela Quiroz, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 509 Cagan View Rd, Clermont, FL 34714 Phone: 407-905-8827 Fax: 407-905-8998 | |
Mrs. Mary Lane Marrero, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 297 E Highway 50 Ste 1, Clermont, FL 34711 Phone: 352-404-6589 | |
Massiel Hernandez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4300 S Hwy 27 Ste 205b, Clermont, FL 34711 Phone: 407-374-5139 | |
Rona Ingrid Henriques, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 E Highway 50, Clermont, FL 34711 Phone: 352-432-2127 Fax: 352-432-2127 | |
Alyssa Bellin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 S Hwy 27 Ste B201, Clermont, FL 34711 Phone: 727-254-9092 | |
Joelle June Bangsund, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 835 Oakley Seaver Dr, S, Clermont, FL 34711 Phone: 352-241-9282 Fax: 352-241-4282 |