| Dr Stephen J Bogan, MD | |
|
1170 Wyke Rd., Shelby, NC 28150-3406 | |
| (704) 482-6767 | |
| (704) 484-2507 |
| Full Name | Dr Stephen J Bogan |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 35 Years |
| Location | 1170 Wyke Rd., Shelby, North Carolina |
| 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 |
|---|---|---|---|
| 1942286018 | NPI | - | NPPES |
| 16428 | Other | SC | BCBS |
| 16428 | Other | BLUE CROSS BLUE SHIELD | |
| 8916428 | Medicaid | NC | |
| D448817495 | Other | MC SOUTH CAROLINA | |
| N36496 | Medicaid | SC | |
| 0860143 | Other | UNITED HEALTH CARE | |
| 16428 | Other | NC | BCBS |
| 561705541 | Other | CMS 1500 | |
| 561705541 | Other | NC | WORKMANS COMP |
| D44881 | Other | FIRST HEALTH | |
| 561705441 | Other | AETNA | |
| S341421 | Other | HEALTHSOURCE SC INC | |
| 104386 | Other | WELLNESS PLAN | |
| 2109355 | Other | MAMSI INSURANCE | |
| 561705541 | Other | SC | WORKMANS COMP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 16420 (South Carolina) | Secondary |
| 207W00000X | Ophthalmology | 36496 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shelby Eye Centers, P.a. | 5799676037 | 2 |
| Shelby Eye Centers, P.a. | 5799676037 | 2 |
| Entity Name | Shelby Eye Centers, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285732453 PECOS PAC ID: 5799676037 Enrollment ID: O20040330001239 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen J Bogan, MD 1170 Wyke Rd, Shelby, NC 28150-4259 Ph: (704) 482-6767 | Dr Stephen J Bogan, MD 1170 Wyke Rd., Shelby, NC 28150-3406 Ph: (704) 482-6767 |
Dr. Nancy Ellen Cline, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1170 Wyke Rd., Shelby, NC 28150 Phone: 704-482-6767 Fax: 704-484-2507 | |
Frank Thomas Hannah, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1622 E Marion St, Shelby, NC 28150 Phone: 704-482-2020 Fax: 704-482-7707 |