Dan Argin Boggus, MD
Individual provider Active NPI Family Medicine Physician · Tavares, FL
NPI 1669419248 · NPPES record last updated Aug 17, 2007
Key facts
- NPI
- 1669419248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- ME42891 (FL)
- Practice address
- 1755 David Walker Dr
Tavares, FL 32778-5745 - Phone
- (352) 742-8830
- Fax
- (352) 742-8826
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of South Florida College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aegis Medical Group LLC
Practice addresses (Care Compare)
1733 David Walker Dr
Tavares, FL 32778-5745
Phone (352) 508-1830
Hospital & facility affiliations
- Adventhealth Home Health
- Vitas Healthcare Corporation of Florida
- Adventhealth Waterman
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100215000529 | FL | Practitioner - Family Practice | 2062303316 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42891 | FL | MD | Physical Therapist |
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Medical Group LLC | Current |
Accepting new patients |
Locations
410 Fern Dr
Leesburg, FL 34748
Phone (352) 218-8200
18550 US Highway 441
Mount Dora, FL 32757
Phone (352) 735-3755
1733 David Walker Dr
Tavares, FL 32778
Phone (352) 508-1830
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- dan.boggus@amgamg.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/JBDHAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME42891 | FL | Yes |
Addresses
Primary practice location
1755 David Walker Dr
Tavares, FL 32778-5745
Mailing address
1755 David Walker Dr
Tavares, FL 32778-5745
Phone (352) 742-8830
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35208 | Other | FL | BCBS |
Other providers in Tavares, FL
- Blessed Behavioral & Health Services LLC
- Nina Blum
- Sarah Boechat Dornas
- Allison Beth Boemer
- Jessica Bogard
- Tamika S. Bolden
- Shalini Meera Boodram
- Miguel J Boque-Santiago
- Borys a Mascarenhas MD PA
- Richard T Bosshardt
All providers in Tavares, FL · Family Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.