| Mr Vincent Bernard Bogan, MSN-CRNA | |
|
9501 Farrell Rd, Dewitt Army Community Hospital, Fort Belvoir, VA 22060-5901 | |
| (703) 805-0342 | |
| (703) 805-0731 |
| Full Name | Mr Vincent Bernard Bogan |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 9501 Farrell Rd, Fort Belvoir, Virginia |
| 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 |
|---|---|---|---|
| 1174569263 | NPI | - | NPPES |
| 1174569263 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 0024164349 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Old Dominion Anesthesia Llc | 8820462765 | 47 |
| Old Dominion Anesthesia Llc | 8820462765 | 47 |
| Entity Name | American Anesthesiology Of Virginia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606 |
| Entity Name | Old Dominion Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902248677 PECOS PAC ID: 8820462765 Enrollment ID: O20230316001226 |
| Entity Name | Inova Cares - Community |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861131906 PECOS PAC ID: 9537526330 Enrollment ID: O20230609002576 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Vincent Bernard Bogan, MSN-CRNA 8402 Sego Lily Ct, Lorton, VA 22079 Ph: (703) 919-7859 | Mr Vincent Bernard Bogan, MSN-CRNA 9501 Farrell Rd, Dewitt Army Community Hospital, Fort Belvoir, VA 22060-5901 Ph: (703) 805-0342 |
Mrs. Constance Louise Jenkins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-2890 | |
Mrs. Connie Jean Moore, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9501 Farrell Rd, Fort Belvoir, VA 22060 Phone: 703-805-0004 | |
Christopher Joseph Grey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3224 | |
Jennifer Hughes, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 602-653-3578 | |
David Alden, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9300 Dewitt Loop, Fort Belvoir, VA 22060 Phone: 571-231-3224 | |
Jacob Macgregor, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9300 Dewit Loop, Fort Belvoir Community Hospital, Fort Belvoir, VA 22060 Phone: 571-231-4578 |