Jose Penagaricano, MD | |
4301 W Markham St # 783, Little Rock, AR 72205-7101 | |
(501) 686-8000 | |
Not Available |
Full Name | Jose Penagaricano |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 32 Years |
Location | 4301 W Markham St # 783, Little Rock, Arkansas |
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 |
---|---|---|---|
1669556684 | NPI | - | NPPES |
19222000000 | Other | AR | QUALCHOICE |
P00020508 | Other | AR | RAILROAD MEDICARE1 |
5L747 | Other | AR | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | E-2813 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
H Lee Moffitt Cancer Ctr And Res Inst Life Time Cancer Scrn Ctr Inc | 2264337021 | 936 |
Entity Name | H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306833595 PECOS PAC ID: 2264337021 Enrollment ID: O20031204000575 |
Mailing Address | Practice Location Address |
---|---|
Jose Penagaricano, MD 4301 W Markham St # 783, Little Rock, AR 72205-7101 Ph: (501) 686-8000 | Jose Penagaricano, MD 4301 W Markham St # 783, Little Rock, AR 72205-7101 Ph: (501) 686-8000 |
Jeremiah James Sabado, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Childrens Way # 104, Little Rock, AR 72202 Phone: 501-364-1175 Fax: 501-364-1513 | |
Dr. Jamie D Ireland, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4300 West 7th Street, John L. Mcclellan Memorial Veterans Hospital, Little Rock, AR 72205 Phone: 501-257-6615 | |
Dr. Aaron L. Janos, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 South University Avenue, Suite 101, Little Rock, AR 72205 Phone: 501-664-3914 Fax: 501-664-5246 | |
Whitney Goodwin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Suite 1100, Little Rock, AR 72205 Phone: 501-748-3214 Fax: 501-227-9151 | |
Dr. Uma Mahesh Matapathi, M.D Radiology Medicare: Medicare Enrolled Practice Location: 1 Childrens Way # 104, Little Rock, AR 72202 Phone: 501-364-1100 Fax: 501-364-4082 | |
Dr. Robert L Stuckey Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9601 Baptist Health Dr, Suite 1100, Little Rock, AR 72205 Phone: 501-748-3214 Fax: 501-227-9151 | |
Jodi M Barboza, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 S University Ave, Suite 101, Little Rock, AR 72205 Phone: 501-664-3914 Fax: 501-664-5246 |