| Mercedes Boggs, | |
|
308 Student Health Ctr, University Park, PA 16802-2129 | |
| (814) 863-6747 | |
| Not Available |
| Full Name | Mercedes Boggs |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 308 Student Health Ctr, University Park, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013173046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MT192709 (Pennsylvania) | Primary |
| Entity Name | Upmc Altoona |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497831655 PECOS PAC ID: 8426962465 Enrollment ID: O20040406001094 |
| Entity Name | Lock Haven Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710201322 PECOS PAC ID: 0547394447 Enrollment ID: O20100813000754 |
| Mailing Address | Practice Location Address |
|---|---|
| Mercedes Boggs, 308 Student Health Ctr, University Park, PA 16802-2129 Ph: () - | Mercedes Boggs, 308 Student Health Ctr, University Park, PA 16802-2129 Ph: (814) 863-6747 |
Lee M Marks, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 308 Student Health Center, University Park, PA 16802 Phone: 814-863-6747 Fax: 814-863-8464 | |
Joshua Wolfe, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 308 Student Health Center, University Park, PA 16802 Phone: 814-863-6747 Fax: 814-863-8464 |