Mr Perry Kent Bohanon, MSN, APRN, BC - Medicare Nurse Practitioner in Edgewood, KY

Mr Perry Kent Bohanon, MSN, APRN, BC is a medicare enrolled "Nurse Practitioner" in Edgewood, Kentucky. He graduated from nursing school in 1990 and has 34 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Summit Medical Group, Inc and his current practice location is 334 Thomas More Parkway, Edgewood, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 301-5901.

Mr Perry Kent Bohanon is licensed to practice in Kentucky (license number 3002807) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467437178.

Contact Information

Mr Perry Kent Bohanon, MSN, APRN, BC
334 Thomas More Parkway,
Edgewood, KY 41017-3464
(859) 301-5901
(859) 301-5940



Provider's Profile

Full NameMr Perry Kent Bohanon
GenderMale
SpecialityNurse Practitioner
Experience34 Years
Location334 Thomas More Parkway, Edgewood, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Perry Kent Bohanon graduated from nursing school in 1990
  NPI Data:
  • NPI Number: 1467437178
  • Provider Enumeration Date: 12/14/2005
  • Last Update Date: 11/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981691201
  • Enrollment ID: I20151104002807

Medical Identifiers

Medical identifiers for Mr Perry Kent Bohanon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467437178NPI-NPPES
0154352MedicaidOH
201331790MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0808XClinical Nurse Specialist - Psychiatric/mental Health 3002807 (Kentucky)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 3002807 (Kentucky)Secondary
364SP0809XClinical Nurse Specialist - Psychiatric/mental Health, Adult 3002807 (Kentucky)Secondary
363L00000XNurse Practitioner 3002807 (Kentucky)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Inc2163326240693

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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. Mr Perry Kent Bohanon allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881026169
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738

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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. Mr Perry Kent Bohanon 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
Mr Perry Kent Bohanon, MSN, APRN, BC
Po Box 635283,
Cincinnati, OH 45263-5283

Ph: (859) 301-5901
Mr Perry Kent Bohanon, MSN, APRN, BC
334 Thomas More Parkway,
Edgewood, KY 41017-3464

Ph: (859) 301-5901

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Nurse Practitioner Nurses in Edgewood, KY

Deborah Elaine Bliss, ACNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Village Drive, St. Elizabeth Healthcare, Edgewood, KY 41017
Phone: 859-301-2000    Fax: 859-301-6900
Lyndsey Lang, MS, RN, NNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-2423    Fax: 859-301-2554
Mrs. Anita Kay Phillips, ARNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-8074    Fax: 859-301-4945
Kristin Legrand, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-2250    
Louise M Cortland, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-757-2927    Fax: 859-341-0203
Alexandra Michelle Wiesner, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-2000    Fax: 859-426-4140
Deanna Lynne Winter, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 711 Medical Village Drive, Edgewood, KY 41017
Phone: 859-331-3353    Fax: 859-331-3326

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