Dr Jennifer Marie Bogucki, MD is a medicare enrolled "Ophthalmology" physician in Grove City, Ohio. Her current practice location is
1600 Gateway Cir, Grove City, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 274-2020.
Dr Jennifer Marie Bogucki is licensed to practice in Ohio (license number 35.122338) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912143587.
Physician's Profile
| Full Name | Dr Jennifer Marie Bogucki |
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| Gender | Female |
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| Speciality | Ophthalmology |
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| Location | 1600 Gateway Cir, Grove City, Ohio |
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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: 1912143587
- Provider Enumeration Date: 01/01/2009
- Last Update Date: 12/31/2020
Medicare PECOS Information:
- PECOS PAC ID: 0749446524
- Enrollment ID: I20140227001638
Medical Identifiers
Medical identifiers for Dr Jennifer Marie Bogucki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912143587 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 35.122338 (Ohio) | Primary |
| 207W00000X | Ophthalmology | 2012009706 (Missouri) | Secondary |
| 207WX0120X | Ophthalmology - Cornea And External Diseases Specialist | 35.122338 (Ohio) | 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. Dr Jennifer Marie Bogucki allows following entities to bill medicare on her behalf.
| Entity Name | Moses & Mouser, M.d.'s, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669650990
PECOS PAC ID: 6507845278
Enrollment ID: O20040715001413 |
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| Entity Name | Eye Physicians, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740814516
PECOS PAC ID: 6800207192
Enrollment ID: O20201117001533 |
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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 Jennifer Marie Bogucki 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 Jennifer Marie Bogucki, MD
1600 Gateway Cir,
Grove City, OH 43123-8650
Ph: (614) 274-2020 | Dr Jennifer Marie Bogucki, MD
1600 Gateway Cir,
Grove City, OH 43123-8650
Ph: (614) 274-2020 |
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