Jose A Bocanegra Jr, MD | |
10139 Royalton Rd Ste H, North Royalton, OH 44133-4473 | |
(440) 816-2878 | |
Not Available |
Full Name | Jose A Bocanegra Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 10139 Royalton Rd Ste H, North Royalton, Ohio |
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 |
---|---|---|---|
1316033475 | NPI | - | NPPES |
0007456582 | Other | OH | AETNA PROVDER ID# |
2479442 | Other | OH | UNITED HEALTHCARE |
1003087 | Other | OH | QUALCHOICE |
000000350199 | Other | OH | ANTHEM BLUE CROSS BLUE SH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35082489 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southwest General Home Health | Middleburg heights, OH | Home health agency |
Southwest General Health Center | Middleburg heights, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest General Medical Group Inc | 8527964550 | 182 |
Entity Name | Southwest General Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134239676 PECOS PAC ID: 8527964550 Enrollment ID: O20031210000789 |
Mailing Address | Practice Location Address |
---|---|
Jose A Bocanegra Jr, MD Po Box 638269, Cincinnati, OH 45263-8269 Ph: (440) 816-2878 | Jose A Bocanegra Jr, MD 10139 Royalton Rd Ste H, North Royalton, OH 44133-4473 Ph: (440) 816-2878 |
Maresa Ann Tabar, APRN Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15092 Waterford Dr, North Royalton, OH 44133 Phone: 216-210-0259 | |
Larry K Hoffman, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7171 Royalton Rd Ste 201, North Royalton, OH 44133 Phone: 440-816-5950 | |
Grace Song, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10139 Royalton Rd Ste H, North Royalton, OH 44133 Phone: 440-816-2878 |