| Elizabeth Victoria Boggio, MD | |
|
2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 | |
| (541) 677-7200 | |
| (541) 229-3309 |
| Full Name | Elizabeth Victoria Boggio |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 2570 Nw Edenbower Blvd Ste 100, Roseburg, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558853390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD214311 (Oregon) | Primary |
| Entity Name | Centennial Medical Group East Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134436637 PECOS PAC ID: 9234397878 Enrollment ID: O20120228000510 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Victoria Boggio, MD 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 Ph: (541) 677-7200 | Elizabeth Victoria Boggio, MD 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 Ph: (541) 677-7200 |
Misha Marie Peel, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 Phone: 541-672-9596 | |
Dr. John Travis Melling, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 150 Ne Kenneth Ford Dr, Roseburg, OR 97470 Phone: 541-672-9596 Fax: 541-646-3519 | |
Candace Marie Hatton, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 272 Nw Medical Loop Ste B, Roseburg, OR 97471 Phone: 541-537-8007 | |
Dr. Brandon W Bonds, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309 | |
Dr. Marie Hebert, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 340 Nw Medical Loop, Roseburg, OR 97471 Phone: 541-464-5907 Fax: 541-464-8481 | |
Dr. Gerald Andrew Jaworski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2282 Nw Troost St, Ste. 101, Roseburg, OR 97471 Phone: 541-673-0609 Fax: 541-440-9387 | |
Vishal Kottapalli, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1937 W Harvard Ave, Roseburg, OR 97471 Phone: 541-677-7200 Fax: 541-229-3309 |