Mr James Michael Hogle Jr, RN, BSN, MSW, MS-NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Detroit, Michigan. His current practice location is
11260 E Jefferson Ave, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 749-0148.
Mr James Michael Hogle Jr is licensed to practice in Michigan (license number 4704280816) 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 1760710164.
Healthcare Provider's Profile
| Full Name | Mr James Michael Hogle Jr |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 11260 E Jefferson Ave, Detroit, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760710164
- Provider Enumeration Date: 11/23/2009
- Last Update Date: 09/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 3779734884
- Enrollment ID: I20121120000390
Medical Identifiers
Medical identifiers for Mr James Michael Hogle Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760710164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 6801069202 (Michigan) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 4704280816 (Michigan) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 4704280816 (Michigan) | 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. Mr James Michael Hogle Jr allows following entities to bill medicare on his behalf.
| Entity Name | Genesee Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043554348 PECOS PAC ID: 6002051091 Enrollment ID: O20130321000586 |
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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. Mr James Michael Hogle Jr 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 |
Mr James Michael Hogle Jr, RN, BSN, MSW, MS-NP Po Box 746723, Atlanta, GA 30374-6723 Ph: (312) 733-9730 | Mr James Michael Hogle Jr, RN, BSN, MSW, MS-NP 11260 E Jefferson Ave, Detroit, MI 48214-3320 Ph: (313) 749-0148 |
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