| Jeffrey A Bogart, MD | |
|
1000 East Genesee St. Suite 101, Syracuse, NY 13210 | |
| (315) 476-3535 | |
| (315) 476-4140 |
| Full Name | Jeffrey A Bogart |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 36 Years |
| Location | 1000 East Genesee St. Suite 101, Syracuse, New York |
| 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 |
|---|---|---|---|
| 1912931460 | NPI | - | NPPES |
| 190748 | Other | NY | NYS LICENSE |
| 01412362 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 190748 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospital S U N Y Health Science Center | Syracuse, NY | Hospital |
| Auburn Community Hospital | Auburn, NY | Hospital |
| Guthrie Cortland Regional Medical Center | Cortland, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Auburn Community Hospital | 2365346525 | 60 |
| Guthrie Medical Group Pc | 6002728656 | 725 |
| Upstate University Radiation Oncology Inc | 7719012889 | 13 |
| Entity Name | Guthrie Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
| Entity Name | Auburn Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093712911 PECOS PAC ID: 2365346525 Enrollment ID: O20031120000617 |
| Entity Name | Upstate University Radiation Oncology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922337195 PECOS PAC ID: 7719012889 Enrollment ID: O20100315000243 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey A Bogart, MD 1000 East Genesee St. Suite 101, Syracuse, NY 13210 Ph: (315) 476-3535 | Jeffrey A Bogart, MD 1000 East Genesee St. Suite 101, Syracuse, NY 13210 Ph: (315) 476-3535 |
James E Suchnicki, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7551 | |
Dr. Thomas Kaysee Chacko, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7551 Fax: 315-470-2719 | |
Dr. Neil F Mariados, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1226 E Water St, Syracuse, NY 13210 Phone: 315-478-3468 Fax: 315-214-2840 | |
Seung Shin Hahn, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 East Genesee St, Suite 101, Syracuse, NY 13210 Phone: 315-476-3535 Fax: 315-476-4140 | |
David Jonathan Pinter, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 750 E Adams St Rm 3416, Syracuse, NY 13210 Phone: 315-464-7439 Fax: 315-464-7494 | |
Dr. Ja Kwei Chang, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 750 E Adams St, 3rd Floor Radiology, Syracuse, NY 13210 Phone: 315-464-6672 | |
John P Marangola, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 306 Sedgwick Dr, Syracuse, NY 13203 Phone: 315-472-5465 |