Deogracias R Pena, MD | |
615 E Princeton St, Suite 401, Orlando, FL 32803-1456 | |
(407) 303-9311 | |
(407) 303-9273 |
Full Name | Deogracias R Pena |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 42 Years |
Location | 615 E Princeton St, Orlando, 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 |
---|---|---|---|
1669483855 | NPI | - | NPPES |
1443501 | Other | TX | UHC PIN |
1750369203 | Other | GRP NPI NUMBER | |
10010075 | Other | TX | AMERIGROUP PIN |
5056081 | Other | TX | AETNA PIN |
75208965 | Other | TX | CIGNA PIN |
87Y112 | Other | TX | BCBSTX PIN |
109517 | Other | TX | SUPERIOR PIN |
121266102 | Other | TX | FIRSTCARE PIN |
133426012 | Medicaid | TX | |
00U87Z | Other | TX | BCBSTX GRP PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0210X | Pediatrics - Pediatric Nephrology | J9778 (Texas) | Secondary |
2080P0210X | Pediatrics - Pediatric Nephrology | ME56326 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventhealth Orlando | Orlando, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Florida Hospital Medical Group Inc | 0749186153 | 1034 |
Entity Name | Florida Hospital Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807 |
Mailing Address | Practice Location Address |
---|---|
Deogracias R Pena, MD 615 E Princeton St, Suite 401, Orlando, FL 32803-1456 Ph: (407) 303-9311 | Deogracias R Pena, MD 615 E Princeton St, Suite 401, Orlando, FL 32803-1456 Ph: (407) 303-9311 |
Dr. Lynn Christine Palmeri, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-303-2528 Fax: 407-303-2760 | |
Darlene Marie Eckert, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14065 Town Loop Blvd, Suite 300, Orlando, FL 32837 Phone: 407-240-5554 Fax: 407-240-5543 | |
Sunita A Patil, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 83 W Columbia St, Orlando, FL 32806 Phone: 321-843-3220 Fax: 321-843-3210 | |
Dr. Barbara J Gans, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 414 N Mills Ave, Orlando, FL 32803 Phone: 407-841-7290 Fax: 407-636-7800 | |
Adalberto Torres, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6535 Nemours Pkwy, Orlando, FL 32827 Phone: 407-650-4005 Fax: 407-650-7124 | |
Dr. Lisa Santos Spector, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13535 Nemours Pkwy, Orlando, FL 32827 Phone: 407-567-4000 Fax: 407-567-5924 | |
Mary Farrell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 92 W Miller St, Orlando, FL 32806 Phone: 321-841-5104 Fax: 321-841-6871 |