Dr Raul A Pinon Jr, DO | |
601 S Center Ave, Merrill, WI 54452-3404 | |
(715) 536-5511 | |
Not Available |
Full Name | Dr Raul A Pinon Jr |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 601 S Center Ave, Merrill, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447271481 | NPI | - | NPPES |
009931872 | Medicaid | AL | |
00126150 | Medicaid | MS | |
731-04382 | Other | AL | BLUE CROSS SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 17751 (Mississippi) | Secondary |
207P00000X | Emergency Medicine | 65077 (Wisconsin) | Secondary |
207P00000X | Emergency Medicine | DO905 (Alabama) | Primary |
Entity Name | Community Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295040376 PECOS PAC ID: 2062408487 Enrollment ID: O20040421001819 |
Entity Name | Paragon Contracting Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756 |
Entity Name | Emergency Services Of Montgomery Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528310323 PECOS PAC ID: 6608028204 Enrollment ID: O20121205000519 |
Mailing Address | Practice Location Address |
---|---|
Dr Raul A Pinon Jr, DO 4909 6th Pl, Meridian, MS 39305-1914 Ph: (601) 604-1264 | Dr Raul A Pinon Jr, DO 601 S Center Ave, Merrill, WI 54452-3404 Ph: (715) 536-5511 |
Robyn A Schertz, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 601 S Center Ave, Merrill, WI 54452 Phone: 715-536-5511 | |
Michael Gordon Aldrich, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1205 O Day Street, Merrill, WI 54452 Phone: 715-536-5511 | |
Dr. Daniel W Hampton, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 S Center Ave, Merrill, WI 54452 Phone: 715-536-5511 | |
Dr. Paul C Samundsen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1205 O'day Street, Merrill, WI 54452 Phone: 715-539-0101 | |
Arthur Marquis, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1205 O Day St, Merrill, WI 54452 Phone: 715-539-0101 |