Mark William Bogert, PT is a medicare enrolled "Physical Therapist" provider in Glen Ullin, North Dakota. His current practice location is
602 Ash Ave, Glen Ullin, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 348-9175.
Mark William Bogert is licensed to practice in North Dakota (license number ND 0534) 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 1235302878.
Healthcare Provider's Profile
| Full Name | Mark William Bogert |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 602 Ash Ave, Glen Ullin, North Dakota |
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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: 1235302878
- Provider Enumeration Date: 04/03/2008
- Last Update Date: 04/03/2008
Medicare PECOS Information:
- PECOS PAC ID: 8123925765
- Enrollment ID: I20031212000783
Medical Identifiers
Medical identifiers for Mark William Bogert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235302878 | NPI | - | NPPES |
| 54373 | Medicaid | ND | |
| 25559 | Other | ND | BLUE CROSS/BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | ND 0534 (North Dakota) | 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. Mark William Bogert allows following entities to bill medicare on his behalf.
| Provider Name | Bogerosa Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1043289895
PECOS PAC ID: 6709825425
Enrollment ID: O20050502000560 |
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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. Mark William Bogert 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 |
|---|
Mark William Bogert, PT
4729 Amberglow Dr,
Bismarck, ND 58503-8846
Ph: (701) 426-7095 | Mark William Bogert, PT
602 Ash Ave,
Glen Ullin, ND 58632-0065
Ph: (701) 348-9175 |
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