ABIGAIL DAVIS BOGAN PA-C
NPI 1174304042
Physician Assistant - Medical in Bossier City, LA

Active since October 09, 2023PECOS EnrolledAccepts Medicare Assignment
5341 AIRLINE DR, BOSSIER CITY, LA 71111(318) 935-1820 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Abigail Davis Bogan Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABIGAIL DAVIS BOGAN PA-C (NPI 1174304042) is an individual medical provider in Bossier City, Louisiana and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2023).

NPPES Registry Identity

NPI1174304042
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameABIGAIL DAVIS BOGANCredential: PA-C
Location Address5341 AIRLINE DRBossier City, LA 71111-6710
Mailing Address5341 Airline Dr Ste 130Bossier City, LA 71111-6710 · (318) 935-1820 · Fax (318) 935-1863
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2023
Enumeration DateOctober 9, 2023
Last NPPES UpdateDecember 20, 2023
NPPES CertifiedDecember 20, 2023
NPI 1174304042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
5341 AIRLINE DR, Bossier City, LA 71111

Other Names 1

Former Name (1)Abigail Davis

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Abigail Davis Bogan Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608226949
PECOS Enrollment IDI20231228001281
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174304042, enumerated as an "individual" on October 09, 2023.

The provider is located at 5341 AIRLINE DR BOSSIER CITY, LA 71111 and the phone number is (318) 935-1820.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.

Abigail Bogan is affiliated with: WILLIS KNIGHTON MEDICAL CENTER.