Dr Charles Vaccaro Menendez Jr, MD | |
3109 Bienville Blvd, Ocean Springs, MS 39564-4361 | |
(228) 762-1353 | |
Not Available |
Full Name | Dr Charles Vaccaro Menendez Jr |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 30 Years |
Location | 3109 Bienville Blvd, Ocean Springs, Mississippi |
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 |
---|---|---|---|
1629008974 | NPI | - | NPPES |
00117198 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 13597 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Singing River Health System | Pascagoula, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Smb Radiology Pa | 9234136060 | 20 |
Entity Name | Gulf Coast Imaging |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205850773 PECOS PAC ID: 3678558723 Enrollment ID: O20040622001235 |
Entity Name | Singing River Radiology Group, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396762209 PECOS PAC ID: 6204847064 Enrollment ID: O20060509000366 |
Entity Name | Smb Radiology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609877356 PECOS PAC ID: 9234136060 Enrollment ID: O20061108000496 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Vaccaro Menendez Jr, MD Po Box 2710, Slidell, LA 70459-2710 Ph: (228) 762-1353 | Dr Charles Vaccaro Menendez Jr, MD 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 Ph: (228) 762-1353 |
James Moore Carter, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3109 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-762-1353 | |
Dr. John Wycoff Godsey, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 502 Martin Ave., Ocean Springs, MS 39564 Phone: 228-875-1392 | |
Brian Twedt, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 202 Rue St Denis, Ocean Springs, MS 39564 Phone: 888-318-8900 | |
Douglas G Cosentino, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3535 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-818-4201 |