Mary Shenouda, MD | |
1615 Sw Main Blvd, Lake City, FL 32025-1108 | |
(386) 755-2785 | |
(386) 755-1128 |
Full Name | Mary Shenouda |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 23 Years |
Location | 1615 Sw Main Blvd, Lake City, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104801976 | NPI | - | NPPES |
2713460 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 01060074A (Indiana) | Secondary |
207W00000X | Ophthalmology | 88852 (Ohio) | Secondary |
207W00000X | Ophthalmology | ME165007 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Columbia Eye Associates Pa | 7517950637 | 8 |
Entity Name | Columbia Eye Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295921096 PECOS PAC ID: 7517950637 Enrollment ID: O20040405001839 |
Mailing Address | Practice Location Address |
---|---|
Mary Shenouda, MD Po Box 489, Lake City, FL 32056-0489 Ph: (386) 755-2785 | Mary Shenouda, MD 1615 Sw Main Blvd, Lake City, FL 32025-1108 Ph: (386) 755-2785 |
Paul Kenneth Rentiers, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-754-6423 | |
Dr. Karl D Bodendorfer, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1615 Sw Main Blvd, Lake City, FL 32025 Phone: 386-755-2785 Fax: 386-755-1128 | |
Dr. Chasidy Dionne Singleton, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1615 Sw Main Blvd, Lake City, FL 32025 Phone: 386-755-2785 Fax: 386-755-1128 | |
Charles P Sweeney, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1615 Sw Main Blvd, Lake City, FL 32025 Phone: 386-755-2785 Fax: 386-755-1128 | |
Eduardo Bedoya, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 876 Sw State Road 247, Lake City, FL 32025 Phone: 386-755-7595 Fax: 386-755-7561 | |
Richard W Reichert, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1615 Sw Main Blvd, Lake City, FL 32025 Phone: 386-755-2785 Fax: 386-755-1128 |