Mr John Cenarosa Paguntalan, NP | |
421 Epting Ave, Greenwood, SC 29646-4041 | |
(864) 227-6818 | |
(864) 725-4979 |
Full Name | Mr John Cenarosa Paguntalan |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 23 Years |
Location | 421 Epting Ave, Greenwood, South Carolina |
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 |
---|---|---|---|
1669664728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 905 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Self Regional Healthcare | Greenwood, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Self Medical Group | 6002953916 | 326 |
Entity Name | Self Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
Entity Name | Self Regional Healthcare Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922582105 PECOS PAC ID: 1557606118 Enrollment ID: O20190129003656 |
Mailing Address | Practice Location Address |
---|---|
Mr John Cenarosa Paguntalan, NP 104 Wells Ave, Greenwood, SC 29646-3837 Ph: (864) 725-4673 | Mr John Cenarosa Paguntalan, NP 421 Epting Ave, Greenwood, SC 29646-4041 Ph: (864) 227-6818 |
Cathleen J Nixon, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 Rockcreek Blvd, Greenwood, SC 29649 Phone: 864-227-5020 | |
Dr. Leslie Mactaggart Myers, DNP, APRN, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Maxwell Ave Ste 235, Greenwood, SC 29646 Phone: 864-990-5074 Fax: 833-405-1939 | |
Whitney D Lyerly Wilson, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1015 Spring St, Greenwood, SC 29646 Phone: 864-227-6741 Fax: 864-227-6021 | |
Caitlin Jennings, PMHNP-BC, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1547 Parkway, Greenwood, SC 29646 Phone: 864-229-7120 | |
Natalie Nicole Sheppard, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Vinecrest Ct Ste 300, Greenwood, SC 29646 Phone: 864-223-6625 | |
Mrs. Theresa Calderon, DNP APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Overland Dr, Greenwood, SC 29646 Phone: 864-227-6641 Fax: 864-227-3953 | |
Rachel L Case, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 Epting Ave, Greenwood, SC 29646 Phone: 864-227-6818 Fax: 864-227-0850 |