Winston William Leland Bogan, in Thomasville, GA - Medicare Occupational Therapist Provider

Winston William Leland Bogan, is a medicare enrolled "Occupational Therapist" provider in Thomasville, Georgia. His current practice location is 423 Covington Ave, Thomasville, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 226-6074.

Winston William Leland Bogan is licensed to practice in Georgia (license number OT009489) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942096433.

Contact Information

	Winston William Leland Bogan,
	423 Covington Ave, Thomasville, GA 31792-5264
	(229) 226-6074
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Winston William Leland Bogan
Gender	Male
Speciality	Occupational Therapist
Location	423 Covington Ave, Thomasville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942096433
Provider Enumeration Date: 04/19/2025
Last Update Date: 04/19/2025

Medicare PECOS Information:

PECOS PAC ID: 2860902954
Enrollment ID: I20250609000632

Medical Identifiers

Medical identifiers for Winston William Leland Bogan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942096433	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT009489 (Georgia)	Primary

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. Winston William Leland Bogan allows following entities to bill medicare on his behalf.

Provider Name	Legacy Healthcare Services Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411

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. Winston William Leland Bogan 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
Winston William Leland Bogan, 1807 Vineland Ln, Tallahassee, FL 32317-7925 Ph: (850) 766-3189	Winston William Leland Bogan, 423 Covington Ave, Thomasville, GA 31792-5264 Ph: (229) 226-6074

Reviews and Comments

Occupational Therapist in Thomasville, GA

Melinda Greene, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-2823 Fax: 229-551-8722
Lindsey Gibson Cone, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 E Jackson St, Thomasville, GA 31792 Phone: 478-318-4579
Charlotte Grant, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 437 E Jackson St, Thomasville, GA 31792 Phone: 850-345-6666
Mrs. Jennifer Michelle Stephenson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 233 Us Highway 84 Byp W, Thomasville, GA 31792 Phone: 229-403-9924
Independent Physical Therapy Of Ga, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 511 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-9019
Michelle Manning Popiel, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 E. Jefferson Street, Thomasville, GA 31792 Phone: 229-225-1683
Legacy Healthcare Services Inc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 421 Covington Ave, Thomasville, GA 31792 Phone: 855-239-3467 Fax: 919-431-9224

Winston William Leland Bogan, - Medicare Occupational Therapist in Thomasville, GA