Arun K Penukonda, MD, FRCS, PA | |
323 Del Prado Blvd. S., Suite 100, Cape Coral, FL 33990 | |
(239) 574-4110 | |
(239) 673-6053 |
Full Name | Arun K Penukonda |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 43 Years |
Location | 323 Del Prado Blvd. S., Cape Coral, Florida |
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 |
---|---|---|---|
1215018627 | NPI | - | NPPES |
370617600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | ME0062366 (Florida) | Secondary |
208600000X | Surgery | ME0062366 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cape Coral Hospital | Cape coral, FL | Hospital |
Lee Memorial Hospital | Fort myers, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Millennium Physician Group Llc | 9830244433 | 789 |
Entity Name | Millennium Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
Entity Name | Arun K. Penukonda, M.d., F.r.c.s., P.a.. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265751879 PECOS PAC ID: 1557554326 Enrollment ID: O20101025001122 |
Mailing Address | Practice Location Address |
---|---|
Arun K Penukonda, MD, FRCS, PA 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (239) 574-4110 | Arun K Penukonda, MD, FRCS, PA 323 Del Prado Blvd. S., Suite 100, Cape Coral, FL 33990 Ph: (239) 574-4110 |
Kiet A. Doan, DO. Surgery Medicare: Accepting Medicare Assignments Practice Location: 708 Del Prado Blvd S Ste 6, Cape Coral, FL 33990 Phone: 239-424-2755 Fax: 239-424-2756 | |
Dr. George Anthony Negrete, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 708 Del Prado Blvd, Cape Coral, FL 33990 Phone: 239-424-2755 Fax: 239-424-2756 | |
Eric A Goldsmith, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 530 Se 16th Pl, Suite A, Cape Coral, FL 33990 Phone: 239-343-9960 | |
Dr. Nazareth V Asorian, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2407 Sw 46th St, Cape Coral, FL 33914 Phone: 239-233-7238 Fax: 239-542-5126 | |
Lindsay Berbiglia, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 708 Del Prado Blvd S Ste 6, Cape Coral, FL 33990 Phone: 239-424-2755 Fax: 239-424-2756 | |
Dr. James G Hubert, DO Surgery Medicare: Medicare Enrolled Practice Location: 2430 Diplomat Pkwy E, Cape Coral, FL 33909 Phone: 239-652-1205 |