| Dimitri Nicholas Pagoulato, | |
|
12525 Perkins Rd, Ste. B, Baton Rouge, LA 70810-1907 | |
| (225) 819-8857 | |
| (225) 767-6822 |
| Full Name | Dimitri Nicholas Pagoulato |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 12525 Perkins Rd, Baton Rouge, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194988915 | NPI | - | NPPES |
| 1189871 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 200193 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Convenient Care Llc | 1153306816 | 48 |
| Mailing Address | Practice Location Address |
|---|---|
| Dimitri Nicholas Pagoulato, 7777 Hennessy Blvd, Suite 1004-154, Baton Rouge, LA 70808-4300 Ph: (225) 214-9352 | Dimitri Nicholas Pagoulato, 12525 Perkins Rd, Ste. B, Baton Rouge, LA 70810-1907 Ph: (225) 819-8857 |
Casey M Leblanc, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5000 Hennessy Blvd, Baton Rouge, LA 70808 Phone: 225-757-0552 | |
Shelbie Lynne Ford, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 17000 Medical Center Dr, Baton Rouge, LA 70816 Phone: 225-755-4858 | |
Paulla Danielle Brouillette, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 7777 Hennessy Blvd, Our Lady Of The Lake Med Cntr -- Er Dept, Baton Rouge, LA 70808 Phone: 888-447-2450 Fax: 405-341-9217 | |
William Clement Moss Jr., P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810 Phone: 225-924-2424 Fax: 225-408-7984 | |
James Garrett Leblanc, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810 Phone: 225-924-2424 Fax: 225-408-7984 | |
Ms. Meegan Landry Domangue, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7301 Hennessy Blvd, #200, Baton Rouge, LA 70801 Phone: 225-766-0050 Fax: 225-766-1499 | |
Mr. Taylor Murphy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7777 Hennessy Blvd Ste 302, Baton Rouge, LA 70808 Phone: 225-374-0500 Fax: 225-354-2075 |