Dr Owano M Pennycooke, MD | |
241 Monmouth Rd, West Long Branch, NJ 07764-1177 | |
(732) 403-2075 | |
Not Available |
Full Name | Dr Owano M Pennycooke |
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Gender | Male |
Speciality | Vascular Surgery |
Experience | 21 Years |
Location | 241 Monmouth Rd, West Long Branch, New Jersey |
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 |
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1013150267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208600000X | Surgery | 25MA08547000 (New Jersey) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 25MA08547000 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bayshore Medical Center | Holmdel, NJ | Hospital |
Riverview Medical Center | Red bank, NJ | Hospital |
Centrastate Medical Center | Freehold, NJ | Hospital |
Raritan Bay Medical Center Perth Amboy Division | Perth amboy, NJ | Hospital |
Entity Name | Associates In Vascular Care Llc Limb Salvage Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023486925 PECOS PAC ID: 2163732868 Enrollment ID: O20151110000210 |
Entity Name | Ea Health - New Jersey Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063186641 PECOS PAC ID: 6103222039 Enrollment ID: O20210901001290 |
Mailing Address | Practice Location Address |
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Dr Owano M Pennycooke, MD 206 Hidden Dr, Blackwood, NJ 08012-4432 Ph: (856) 313-8849 | Dr Owano M Pennycooke, MD 241 Monmouth Rd, West Long Branch, NJ 07764-1177 Ph: (732) 403-2075 |
Boris Volshteyn, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 107 Monmouth Rd Ste 102, West Long Branch, NJ 07764 Phone: 732-641-3350 Fax: 732-333-6324 | |
Val Prokurat, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 107 Monmouth Road, Ste 102, West Long Branch, NJ 07764 Phone: 201-996-2959 |