Dimitri Nicholas Pagoulato, PAC in Baker, LA

Dimitri Nicholas Pagoulato, PAC is a medicare enrolled "Physician Assistant" in Baker, Louisiana. His current practice location is 6516 E Myrtle Ave, Baker, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 774-7320.

Dimitri Nicholas Pagoulato is licensed to practice in Louisiana (license number 200193) 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 1194988915.

Contact Information

	Dimitri Nicholas Pagoulato, PAC
	6516 E Myrtle Ave, Baker, LA 70714-4348
	(225) 774-7320
	(225) 774-5432

Map and Direction

Provider's Profile

Full Name	Dimitri Nicholas Pagoulato
Gender	Male
Speciality
Experience	Years
Location	6516 E Myrtle Ave, Baker, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dimitri Nicholas Pagoulato attended and graduated from in

NPI Data:

NPI Number: 1194988915
Provider Enumeration Date: 07/02/2008
Last Update Date: 03/14/2025

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dimitri Nicholas Pagoulato such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194988915	NPI	-	NPPES
1189871	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	200193 (Louisiana)	Primary

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. Dimitri Nicholas Pagoulato 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
Dimitri Nicholas Pagoulato, PAC 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 774-7320	Dimitri Nicholas Pagoulato, PAC 6516 E Myrtle Ave, Baker, LA 70714-4348 Ph: (225) 774-7320

Reviews and Comments

Physician Assistant Nurses in Baker, LA

Alice Catherine Powell, P. A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6516 E Myrtle Ave, Baker, LA 70714 Phone: 225-774-7320 Fax: 225-774-5432
Thikra Muhsin, Physician Assistant Medicare: Medicare Enrolled Practice Location: 902 Main St, Baker, LA 70714 Phone: 225-500-2504
Rylin T Campbell, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 902 Main St, Baker, LA 70714 Phone: 225-500-2504
Ballard Jackson Mann, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6516 E Myrtle Ave, Baker, LA 70714 Phone: 225-774-7320 Fax: 225-774-5432

Dimitri Nicholas Pagoulato, PAC - Medicare in Baker, LA