Jack Shenouda Md Corp in Thousand Oaks, CA - Medicare Internal Medicine

Jack Shenouda Md Corp is a medicare enrolled primary clinic (Internal Medicine) in Thousand Oaks, California. The current practice location for Jack Shenouda Md Corp is 1016 Cactus Ct, Thousand Oaks, California. For appointments, you can reach them via phone at (717) 557-3938. The mailing address for Jack Shenouda Md Corp is 1016 Cactus Ct, Thousand Oaks, California and phone number is () -.

Jack Shenouda Md Corp is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1962987222. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (717) 557-3938.

Contact Information

	Jack Shenouda Md Corp
	1016 Cactus Ct Thousand Oaks CA 91320-5907
	(717) 557-3938
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Jack Shenouda Md Corp
Speciality	Internal Medicine
Location	1016 Cactus Ct, Thousand Oaks, California
Authorized Official Name and Position	Jack Shenouda (CEO)
Authorized Official Contact	7175573938
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jack Shenouda Md Corp 1016 Cactus Ct Thousand Oaks CA 91320-5907 Ph: () -	Jack Shenouda Md Corp 1016 Cactus Ct Thousand Oaks CA 91320-5907 Ph: (717) 557-3938

NPI Details:

NPI Number	1962987222
Provider Enumeration Date	10/02/2018
Last Update Date	10/02/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	5799163739
Medicare Enrollment ID	O20220603001770

Medical Identifiers

Medical identifiers for Jack Shenouda Md Corp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962987222	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jack Shenouda Md Corp acts as a billing entity for following providers:

Provider Name	Jack T Shenouda
Provider Type	Practitioner - Hospitalist
Provider Identifiers	NPI Number: 1023247822 PECOS PAC ID: 9739337239 Enrollment ID: I20160606000606

Reviews and Comments

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Jack Shenouda Md Corp - Medicare Primary Care in Thousand Oaks, CA