| Damon M Boogaart, DNP, CFNP | |
|
2570 Som Center Rd, Willoughby, OH 44094-9607 | |
| (440) 943-2500 | |
| (440) 516-8345 |
| Full Name | Damon M Boogaart |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 29 Years |
| Location | 2570 Som Center Rd, Willoughby, 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 |
|---|---|---|---|
| 1538160403 | NPI | - | NPPES |
| 000000297161 | Other | IN | BC/BS # |
| 100321450 | Medicaid | IN | |
| 2288117 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71000544A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | NP 08627 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cleveland Clinic | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleveland Clinic | 1850203555 | 6184 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Damon M Boogaart, DNP, CFNP 2570 Som Center Rd, Willoughby, OH 44094-9607 Ph: (440) 943-2500 | Damon M Boogaart, DNP, CFNP 2570 Som Center Rd, Willoughby, OH 44094-9607 Ph: (440) 943-2500 |
Samantha C Cole, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6005 Som Center Rd, Willoughby, OH 44094 Phone: 866-389-2727 | |
Robert William Jonath, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Avenue, Willoughby, OH 44094 Phone: 440-953-9600 | |
Kimberly Vanik, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35717 Euclid Ave, Willoughby, OH 44094 Phone: 440-449-1540 | |
Ashley King, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1601 Arbor Dr, Willoughby, OH 44094 Phone: 440-339-0218 | |
Shanon Lee Mekesa Ellis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6005 Som Center Rd, Willoughby, OH 44094 Phone: 440-946-7252 | |
Alexandria Uher, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35717 Euclid Ave, Willoughby, OH 44094 Phone: 440-449-1540 | |
Jaquina Ross, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 35900 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-3000 |