| Dr Jack Shenouda, MD | |
|
1600 N Rose Ave, Oxnard, CA 93030-3722 | |
| (717) 577-3938 | |
| (785) 354-6349 |
| Full Name | Dr Jack Shenouda |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 18 Years |
| Location | 1600 N Rose Ave, Oxnard, California |
| 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 |
|---|---|---|---|
| 1023247822 | NPI | - | NPPES |
| 068002171 | Other | KS | MEDICARE PTAN |
| 200962510A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A140119 (California) | Secondary |
| 208M00000X | Hospitalist | A140119 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vitas Healthcare Corp | Encino, CA | Hospice |
| St Johns Regional Medical Center | Oxnard, CA | Hospital |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Primary Medical Group Of Ventura County Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417970849 PECOS PAC ID: 0345218160 Enrollment ID: O20040920001052 |
| Entity Name | Advantage Hospitalists, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801269881 PECOS PAC ID: 7810291531 Enrollment ID: O20160201000977 |
| Entity Name | Jack Shenouda Md Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962987222 PECOS PAC ID: 5799163739 Enrollment ID: O20220603001770 |
| Entity Name | Global Wound Care Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230517001871 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack Shenouda, MD 1016 Cactus Ct, Thousand Oaks, CA 91320-5907 Ph: (717) 557-3938 | Dr Jack Shenouda, MD 1600 N Rose Ave, Oxnard, CA 93030-3722 Ph: (717) 577-3938 |
Ilene K Tsui, M.D Hospitalist Medicare: Medicare Enrolled Practice Location: 1700 N Rose Ave Ste 280, Oxnard, CA 93030 Phone: 805-384-8071 Fax: 805-278-6477 | |
Dr. Jan Stefan Eperjesi, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: St. John's Regional Medical Center - 1600 N Rose Ave, Oxnard, CA 93030 Phone: 000-000-0000 Fax: 805-256-7840 | |
Travis B Bond, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1600 N Rose Ave, Oxnard, CA 93030 Phone: 505-272-1348 | |
Tingfei Hu, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1600 N Rose Ave, Oxnard, CA 93030 Phone: 805-988-2500 |