Mary S Bogucki, MD in New Haven, CT - Medicare Emergency Medicine

Mary S Bogucki, MD is a medicare enrolled "Emergency Medicine" physician in New Haven, Connecticut. Her current practice location is 800 Howard Ave, Yale Physicians Bldg, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 785-2140.

Mary S Bogucki is licensed to practice in Connecticut (license number 027711) 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 1053392621.

Contact Information

	Mary S Bogucki, MD
	800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519-1369
	(203) 785-2140
	(203) 785-6414

Map and Direction

Physician's Profile

Full Name	Mary S Bogucki
Gender	Female
Speciality	Emergency Medicine
Location	800 Howard Ave, New Haven, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053392621
Provider Enumeration Date: 11/09/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4880636166
Enrollment ID: I20050526000329

Medical Identifiers

Medical identifiers for Mary S Bogucki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053392621	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	027711 (Connecticut)	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. Mary S Bogucki allows following entities to bill medicare on her behalf.

Entity Name	Yale University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015

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. Mary S 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
Mary S Bogucki, MD Po Box 9805, 300 George St 6th Floor, New Haven, CT 06536-0805 Ph: (203) 785-7998	Mary S Bogucki, MD 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519-1369 Ph: (203) 785-2140

Reviews and Comments

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Mary S Bogucki, MD - Medicare Emergency Medicine in New Haven, CT