Eileen Sarah Heanue-bogue, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in Budd Lake, New Jersey. Her current practice location is
125 U.s. Route 46, Budd Lake, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 691-1111.
Eileen Sarah Heanue-bogue is licensed to practice in New Jersey (license number 26NJ00451400) 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 1114355195.
Provider's Profile
| Full Name | Eileen Sarah Heanue-bogue |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 125 U.s. Route 46, Budd Lake, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114355195
- Provider Enumeration Date: 10/29/2013
- Last Update Date: 10/29/2013
Medicare PECOS Information:
- PECOS PAC ID: 9133437734
- Enrollment ID: I20151001000523
Medical Identifiers
Medical identifiers for Eileen Sarah Heanue-bogue such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114355195 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00451400 (New Jersey) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | F303822-1 (New York) | Secondary |
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. Eileen Sarah Heanue-bogue allows following entities to bill medicare on her behalf.
| Entity Name | Icahn School Of Medicine At Mount Sinai |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588937064
PECOS PAC ID: 2264691070
Enrollment ID: O20120718000559 |
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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. Eileen Sarah Heanue-bogue 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 |
|---|
Eileen Sarah Heanue-bogue, ANP
125 Route 46,
Budd Lake, NJ 07828
Ph: (973) 691-1111 | Eileen Sarah Heanue-bogue, ANP
125 U.s. Route 46,
Budd Lake, NJ 07828
Ph: (973) 691-1111 |
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