Dr Michael Pennachio, MD | |
640 S Lake St, Leesburg, FL 34748-5927 | |
(352) 728-1717 | |
(352) 728-8467 |
Full Name | Dr Michael Pennachio |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 43 Years |
Location | 640 S Lake St, Leesburg, 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 |
---|---|---|---|
1750312005 | NPI | - | NPPES |
CC4829 | Other | FL | RAILROAD MEDICARE |
4779733 003 | Other | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | ME0045426 (Florida) | Primary |
Entity Name | Michael Pennachio Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477092187 PECOS PAC ID: 0143597898 Enrollment ID: O20170530002442 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Pennachio, MD 1100 S Grove St, Eustis, FL 32726-5524 Ph: (352) 728-1717 | Dr Michael Pennachio, MD 640 S Lake St, Leesburg, FL 34748-5927 Ph: (352) 728-1717 |
Dr. Craig Fishman, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 640 S Lake St, Leesburg, FL 34748 Phone: 352-360-2301 Fax: 352-315-7631 | |
Jeffrey Sheridan, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 640 S Lake St, Leesburg, FL 34748 Phone: 352-360-2301 Fax: 352-315-7631 | |
Ethiraj Ramchander, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1131 E North Blvd, Leesburg, FL 34748 Phone: 352-365-2333 Fax: 352-365-2024 | |
David Ming Pon, M.D., M.P.H. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 601 E Dixie Ave, Suite 1003, Leesburg, FL 34748 Phone: 352-787-4588 Fax: 352-323-9022 |