Michael Pequeno, AG-ACNP is a medicare enrolled "Nurse Practitioner" physician in San Antonio, Texas. His current practice location is
1200 Brooklyn Ave, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 281-9800.
Michael Pequeno is licensed to practice in Texas (license number AP136257) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467944256.
Physician's Profile
| Full Name | Michael Pequeno |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1200 Brooklyn Ave, San Antonio, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael Pequeno attended and graduated from in
NPI Data:
- NPI Number: 1467944256
- Provider Enumeration Date: 06/06/2018
- Last Update Date: 02/29/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Michael Pequeno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467944256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RN0300X | Internal Medicine - Nephrology | AP136257 (Texas) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | AP136257 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | AP136257 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Pequeno is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael Pequeno, AG-ACNP
1200 Brooklyn Ave,
San Antonio, TX 78212-4803
Ph: (210) 281-9800 | Michael Pequeno, AG-ACNP
1200 Brooklyn Ave,
San Antonio, TX 78212-4803
Ph: (210) 281-9800 |
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