| Dr Charles Francis Wennogle Jr, MD | |
|
9582 W Colonial Dr, Ocoee, FL 34761-6992 | |
| (719) 593-1799 | |
| (719) 265-3794 |
| Full Name | Dr Charles Francis Wennogle Jr |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 30 Years |
| Location | 9582 W Colonial Dr, Ocoee, Florida |
| 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 |
|---|---|---|---|
| 1396835054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 40037 (Colorado) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Howard John Simon Md Pc | 1658602263 | 28 |
| Smi Imaging Llc | 3476696220 | 255 |
| Health Diagnostics Of California A Professional Corporation | 4284621525 | 119 |
| Simonmed Imaging Florida Llc | 6608036108 | 166 |
| Smi Imaging Llc | 3476696220 | 255 |
| Simonmed Imaging Florida Llc | 6608036108 | 166 |
| Smi Imaging Llc | 3476696220 | 255 |
| Entity Name | Simonmed Imaging Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477830818 PECOS PAC ID: 6608036108 Enrollment ID: O20160601000665 |
| Entity Name | Smi Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20181015000140 |
| Entity Name | Health Diagnostics Of California A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104321959 PECOS PAC ID: 4284621525 Enrollment ID: O20200304000418 |
| Entity Name | Howard John Simon Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932768934 PECOS PAC ID: 1658602263 Enrollment ID: O20200309000938 |
| Entity Name | Florida Hospital Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073785044 PECOS PAC ID: 0042383200 Enrollment ID: O20220214000929 |
| Entity Name | Florida Radiology Imaging At Lake Mary Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740256494 PECOS PAC ID: 1254311137 Enrollment ID: O20220621003375 |
| Entity Name | Simonmed Reno Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306576145 PECOS PAC ID: 5991140360 Enrollment ID: O20240520000030 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Francis Wennogle Jr, MD 6189 Massive Peak Cir, Castle Rock, CO 80108-9485 Ph: (720) 219-7536 | Dr Charles Francis Wennogle Jr, MD 9582 W Colonial Dr, Ocoee, FL 34761-6992 Ph: (719) 593-1799 |
Orville Josue Oquendo, X-RAY TECHNICIAN Radiology Medicare: Not Enrolled in Medicare Practice Location: 1151 Blackwood Ave Ste 170, Ocoee, FL 34761 Phone: 407-347-8339 Fax: 407-347-8394 | |
Amir Moubayed, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 9582 W Colonial Dr, Ocoee, FL 34761 Phone: 407-363-7115 Fax: 407-685-6012 | |
Carmelo Calderone, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 9582 W Colonial Dr, Ocoee, FL 34761 Phone: 407-363-6700 Fax: 407-363-5979 | |
Dr. Takesh Sazmand, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9582 W Colonial Dr, Ocoee, FL 34761 Phone: 407-363-6700 Fax: 407-865-6012 | |
Idelisa Torres-berastain, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9582 W Colonial Dr, Ocoee, FL 34761 Phone: 407-896-3055 Fax: 826-110-3866 | |
William Joseph Wall Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9582 W Colonial Dr, Ocoee, FL 34761 Phone: 407-896-3055 Fax: 407-865-6012 |