| Van B Boggus, MD | |
|
6444 Monroe St, Suite 3, Sylvania, OH 43560-1454 | |
| (419) 885-2553 | |
| (419) 885-7070 |
| Full Name | Van B Boggus |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 49 Years |
| Location | 6444 Monroe St, Sylvania, Ohio |
| 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 |
|---|---|---|---|
| 1326153925 | NPI | - | NPPES |
| 0492391 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 35-047650 B (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Mercy St Vincent Medical Center | Toledo, OH | Hospital |
| Emma L Bixby Medical Center | Adrian, MI | Hospital |
| Bay Park Community Hospital | Oregon, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Toledo Clinic Incorporated | 5698673382 | 231 |
| Entity Name | Toledo Clinic Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144217894 PECOS PAC ID: 5698673382 Enrollment ID: O20031219000210 |
| Mailing Address | Practice Location Address |
|---|---|
| Van B Boggus, MD 6444 Monroe St, Suite 3, Sylvania, OH 43560-1454 Ph: (419) 885-2553 | Van B Boggus, MD 6444 Monroe St, Suite 3, Sylvania, OH 43560-1454 Ph: (419) 885-2553 |
Jake P Heiney, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 7640 Sylvania Ave, Suite B, Sylvania, OH 43560 Phone: 419-517-7533 Fax: 419-517-7502 | |
Robert H Hartwig, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 6444 Monroe St, Ste 1, Sylvania, OH 43560 Phone: 419-885-2553 | |
Thomas Guido Andreshak, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7640 Sylvania Ave, Ste. B, Sylvania, OH 43560 Phone: 419-517-7500 Fax: 419-517-7501 |