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Elizabeth Bonfanti Curtis

Family Medicine

Allopathic & Osteopathic Physicians

8119 Picardy Ave, Baton Rouge, LA 70809-3515

PECOS Enrollment

This provider is enrolled in PECOS as ELIZABETH CURTIS.

Based on the most recent information from CMS, provider Elizabeth Bonfanti Curtis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1215934377
Provider Type
Individual
Full Name
Curtis, Elizabeth Bonfanti
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
7/5/2005
Last Updated
5/20/2022

Contact Information

Practice Location

8119 Picardy Ave, Baton Rouge, LA 70809-3515

(225) 765-3076

(225) 765-1076

Mailing Location

5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038

(225) 765-5727

(225) 765-9196

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 022589 Louisiana
Code 207QH0002X	Description Family Medicine Allopathic & Osteopathic Physicians	License 022589 Louisiana

Provider Identifiers

ID	Description	Issuer
ID 080139833	Description Other	Issuer RAILROAD MEDICARE Louisiana
ID 1490008	Description Medicaid	Issuer Unlisted Louisiana
ID 249444YJXR	Description Other	Issuer MEDICARE PTAN Louisiana

Elizabeth Bonfanti Curtis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Sugarman, Nathan

La Medicine Services

Med-Aid Clinic

Ford, Alexis Brown

Awad, Stephanie Sue Meng

Ishler, Harold Leroy

Batie, Donnie

Tabor, Roslyn M

Gaspard, Brad J.

Reddy, Shilpa Mainampati