Dr Eleni Pentheroudakis, MD | |
5555 Grossmont Center Dr, Emergency Department, La Mesa, CA 91942-3019 | |
(619) 740-4402 | |
Not Available |
Full Name | Dr Eleni Pentheroudakis |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 25 Years |
Location | 5555 Grossmont Center Dr, La Mesa, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952349987 | NPI | - | NPPES |
001899576 | Medicaid | PA | |
00A751910 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A75191 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Grossmont Hospital | La mesa, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Team Physicians Of Northern California Medical Group Inc | 7113215146 | 96 |
Skilled Facility Health Care Solutions Inc | 9032299144 | 51 |
Entity Name | Skilled Facility Health Care Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104018423 PECOS PAC ID: 9032299144 Enrollment ID: O20080102000273 |
Entity Name | Team Physicians Of Northern California Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649692716 PECOS PAC ID: 7113215146 Enrollment ID: O20161006002407 |
Mailing Address | Practice Location Address |
---|---|
Dr Eleni Pentheroudakis, MD 5555 Grossmont Center Dr, Emergency Department, La Mesa, CA 91942-3019 Ph: (619) 740-4402 | Dr Eleni Pentheroudakis, MD 5555 Grossmont Center Dr, Emergency Department, La Mesa, CA 91942-3019 Ph: (619) 740-4402 |
Brendan J Lee, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-644-4401 | |
Christa Ann Landowska Arefieva, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000 | |
David Miles, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000 | |
Bret Winners, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000 | |
Dr. Jack J Springer, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-710-4145 | |
John Kim, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000 | |
Dr. Tania Portillo, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000 |