| Dr Jose Raul Pena, MD | |
|
9604 Holly Point Dr, Huntersville, NC 28078-4913 | |
| (704) 316-5070 | |
| (704) 316-5075 |
| Full Name | Dr Jose Raul Pena |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 42 Years |
| Location | 9604 Holly Point Dr, Huntersville, North 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 |
|---|---|---|---|
| 1598741563 | NPI | - | NPPES |
| 218605 | Medicaid | NC | |
| 5900708 | Medicaid | NC |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2144 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jose Raul Pena, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 316-5070 | Dr Jose Raul Pena, MD 9604 Holly Point Dr, Huntersville, NC 28078-4913 Ph: (704) 316-5070 |
Dr. Colene Marie Calo, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9604 Holly Point Dr, Huntersville, NC 28078 Phone: 704-316-5070 Fax: 704-316-5075 | |
Ms. Nicole Marie Seminara-zambrzycka, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 13539 Reese Blvd W, Huntersville, NC 28078 Phone: 704-892-4878 Fax: 704-892-7453 | |
Jean Marie Kois, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 9604 Holly Point Dr, Huntersville, NC 28078 Phone: 704-316-5070 Fax: 704-316-5075 | |
Nancy J Astle, MD Dermatology Medicare: Medicare Enrolled Practice Location: 13539 Reese Blvd W Ste B, Huntersville, NC 28078 Phone: 704-892-4878 Fax: 704-892-7453 |