| C Scott Boagni MD APMC | |
|
331 S Main St Opelousas LA 70570-6137 | |
| (337) 942-7155 | |
| (337) 942-2801 |
| Full Name | C Scott Boagni MD APMC |
|---|---|
| Speciality | Internal Medicine |
| Location | 331 S Main St, Opelousas, Louisiana |
| Authorized Official Name and Position | C Scott Boagni (PRESIDENT) |
| Authorized Official Contact | 3379427155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C Scott Boagni MD APMC 331 S Main St Opelousas LA 70570-6137 Ph: (337) 942-7155 | C Scott Boagni MD APMC 331 S Main St Opelousas LA 70570-6137 Ph: (337) 942-7155 |
| NPI Number | 1649242611 |
|---|---|
| Provider Enumeration Date | 02/03/2006 |
| Last Update Date | 10/27/2008 |
| Medicare PECOS PAC ID | 6709079619 |
|---|---|
| Medicare Enrollment ID | O20101025000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649242611 | NPI | - | NPPES |
| CK8600 | Other | LA | MEDICARE RAILROAD |
| 1657506 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | O20814 (Louisiana) | Primary |
| Provider Name | C Scott Boagni |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689873440 PECOS PAC ID: 7719170620 Enrollment ID: I20101025000364 |
| Provider Name | Kristy Lane Boagni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881253219 PECOS PAC ID: 8820323769 Enrollment ID: I20190715001216 |
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