Mikayla L Bogulski, - Medicare Physician Assistant in Johnson City, TN

Mikayla L Bogulski, is a medicare enrolled "Physician Assistant" in Johnson City, Tennessee. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Fletcher Hospital Inc, Watauga Orthopaedics Plc and her current practice location is 2410 Susannah St, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 282-9011.

Mikayla L Bogulski is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013552439.

Contact Information

Mikayla L Bogulski,
2410 Susannah St,
Johnson City, TN 37601-1748
(423) 282-9011
(423) 282-0035

Map and Direction




Provider's Profile

Full NameMikayla L Bogulski
GenderFemale
SpecialityPhysician Assistant
Experience7 Years
Location2410 Susannah St, Johnson City, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mikayla L Bogulski graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1013552439
  • Provider Enumeration Date: 11/08/2019
  • Last Update Date: 06/15/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5496183246
  • Enrollment ID: I20220628000089

Medical Identifiers

Medical identifiers for Mikayla L Bogulski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013552439NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adventhealth HendersonvilleHendersonville, NCHospital
Margaret R Pardee Memorial HospitalHendersonville, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fletcher Hospital Inc5395658819302
Watauga Orthopaedics Plc145624647985

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. Mikayla L Bogulski allows following entities to bill medicare on her behalf.
Entity NameFletcher Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427075027
PECOS PAC ID: 5395658819
Enrollment ID: O20031111000778
Entity NameHenderson County Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053782318
PECOS PAC ID: 8123938115
Enrollment ID: O20160201002874

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. Mikayla L Bogulski 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 AddressPractice Location Address
Mikayla L Bogulski,
2410 Susannah St,
Johnson City, TN 37601-1748

Ph: (423) 282-9011
Mikayla L Bogulski,
2410 Susannah St,
Johnson City, TN 37601-1748

Ph: (423) 282-9011

Reviews and Comments


Physician Assistant Nurses in Johnson City, TN

Kevin Ray Hudson, PA
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Practice Location: 410 N State Of Franklin Rd Ste 140, Johnson City, TN 37604
Phone: 423-431-2460    Fax: 423-431-2465
Chris F Strawn, PA
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Samuel William Cook Iii, PAC
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Practice Location: 2410 Susannah Street, Johnson City, TN 37601
Phone: 423-282-9011    Fax: 423-282-0035
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Mckenzie Pearl Gregg, PA-C, MMS, MPH
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Phone: 615-891-9794    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.