| Dr Ryan Bogner, MD | |
|
2857 Charlestown Rd Ste 100, New Albany, IN 47150-1998 | |
| (812) 944-7500 | |
| (812) 944-6424 |
| Full Name | Dr Ryan Bogner |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 11 Years |
| Location | 2857 Charlestown Rd Ste 100, New Albany, Indiana |
| 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 |
|---|---|---|---|
| 1225440324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 51443 (Kentucky) | Secondary |
| 207N00000X | Dermatology | 15560 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Owensboro Health Regional Hospital | Owensboro, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kentucky Skin Cancer Center Pllc | 2668729336 | 10 |
| Entity Name | Associates In Dermatology, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629083399 PECOS PAC ID: 1658263876 Enrollment ID: O20040325000047 |
| Entity Name | Kentucky Skin Cancer Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902302987 PECOS PAC ID: 2668729336 Enrollment ID: O20180726001092 |
| Entity Name | Vitalskin Medical Group Il Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477297083 PECOS PAC ID: 5991116261 Enrollment ID: O20220928002012 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Bogner, MD 2857 Charlestown Rd Ste 100, New Albany, IN 47150-1998 Ph: (812) 944-7500 | Dr Ryan Bogner, MD 2857 Charlestown Rd Ste 100, New Albany, IN 47150-1998 Ph: (812) 944-7500 |
Dr. Alfred L. Knable Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2241 Green Valley Rd, New Albany, IN 47150 Phone: 812-948-1148 Fax: 812-948-0032 | |
Duane Edward Banet, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2857 Charlestown Rd Ste 100, New Albany, IN 47150 Phone: 812-944-7500 Fax: 812-944-6424 | |
Dr. Ashley Reader, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2857 Charlestown Rd Ste 100, New Albany, IN 47150 Phone: 812-944-7500 | |
Dr. Megan Brinkworth Vissing, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2241 Green Valley Rd, New Albany, IN 47150 Phone: 502-583-1749 Fax: 502-329-8184 |