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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST

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BOGIE, GEMINI JILL       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 5622 N PORTLAND
SUITE 200
OKLAHOMA CITY OK 73112

Address last updated on 6/3/2024
Phone #: (405) 528-8193
Fax #: (405) 528-0626
County: OKLAHOMA
License: 20219
Dated: 7/10/1997
Expires: 7/1/2025
Training Issued: 7/1/1996
Training Expires: 8/1/1997
License Type: Medical Doctor
Specialty: Ophthalmology
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 6 / 1996
CME Year: 2027
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF OPHTHALMOLOGY
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
CIGNA HMO
CIGNA PPO
CommunityCare HMO, Inc
Evolutions Healthcare
First Health
HealthChoice
HealthChoice
Humana ChoiceCare
OSMA Health (formerly Plico PPO)
PacifiCare of Oklahoma, Inc
Physicians Direct Network
PPO USA
Preferred Community Choice
Railroad Medicare
SoonerCare HMO
SoonerCare PPO
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: INTEGRIS Baptist Medical Center
Oklahoma City, OK
Summit Medical Center
Edmond, OK
Locations: Hours: Languages:
5622 N PORTLAND
SUITE 200
OKLAHOMA CITY OK 73112

Phone #: (405) 528-8193
Fax #: (405) 528-0626
Mon:
Tue:
Wed:
Thu:
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Sun:

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