| Dr Enrique Peralta, | |
|
3990 N Illinois St, Swansea, IL 62226-1919 | |
| (618) 277-1130 | |
| (618) 277-4917 |
| Full Name | Dr Enrique Peralta |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 40 Years |
| Location | 3990 N Illinois St, Swansea, Illinois |
| 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 |
|---|---|---|---|
| 1346237534 | NPI | - | NPPES |
| 209310200 | Medicaid | MO | |
| 036112111 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 036-112111 (Illinois) | Primary |
| 207W00000X | Ophthalmology | 2004012770 (Missouri) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jfj Eyecare Ltd | 8224009865 | 13 |
| Jfj Eyecare Ltd | 8224009865 | 13 |
| Entity Name | Retina Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861539694 PECOS PAC ID: 5890758296 Enrollment ID: O20041108000008 |
| Entity Name | St. Louis Eye Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366555690 PECOS PAC ID: 2961559844 Enrollment ID: O20090410000014 |
| Entity Name | Jfj Eyecare, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376586685 PECOS PAC ID: 8224009865 Enrollment ID: O20111026000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Enrique Peralta, 3990 N Illinois St, Swansea, IL 62226-1919 Ph: (618) 277-1130 | Dr Enrique Peralta, 3990 N Illinois St, Swansea, IL 62226-1919 Ph: (618) 277-1130 |
Mark Allen Nekola, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3990 N Illinois St, Swansea, IL 62226 Phone: 618-277-1130 Fax: 618-277-4917 | |
Dr. Homer Ashton Ferguson Jr., M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3990 N Illinois St, Swansea, IL 62226 Phone: 618-277-1130 Fax: 618-277-4917 | |
Dr. Jeffrey Michael Maher, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3990 N Illinois St, Swansea, IL 62226 Phone: 618-277-1130 Fax: 618-277-4917 | |
Eric Hunt Wigton, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3990 N Illinois St, Swansea, IL 62226 Phone: 618-277-1130 Fax: 618-277-4917 | |
Dr. Bart Aaron Jones, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3990 N Illinois St, Swansea, IL 62226 Phone: 618-277-1130 Fax: 618-277-4917 | |
Dr. Thomas Nicholas Fleming, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3990 N Illinois St, Swansea, IL 62226 Phone: 618-277-1130 Fax: 618-277-4917 |