| Dr Joseph R Pernicone, DO | |
|
3220 Discovery Dr Ste 100, Room A204, Lansing, MI 48910-8556 | |
| (517) 975-8930 | |
| (517) 337-4985 |
| Full Name | Dr Joseph R Pernicone |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 46 Years |
| Location | 3220 Discovery Dr Ste 100, Lansing, Michigan |
| 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 |
|---|---|---|---|
| 1114975745 | NPI | - | NPPES |
| 1114975745 | Medicaid | MI | |
| 2900608 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 5101007728 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Greater Lansing | Lansing, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Msu Health Care Inc | 8628404936 | 210 |
| Entity Name | Michigan State University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770646028 PECOS PAC ID: 3870405954 Enrollment ID: O20031218000451 |
| Entity Name | Msu Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700418670 PECOS PAC ID: 8628404936 Enrollment ID: O20200518002744 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph R Pernicone, DO 804 Service Rd Ste A109b, East Lansing, MI 48824-7015 Ph: (517) 975-8930 | Dr Joseph R Pernicone, DO 3220 Discovery Dr Ste 100, Room A204, Lansing, MI 48910-8556 Ph: (517) 975-8930 |
Dr. Robert J Wolf, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1540 Lake Lansing Rd, Suite 107, Lansing, MI 48912 Phone: 517-913-3800 Fax: 517-913-3901 | |
Casey Branach, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-364-3464 | |
Nathan Jones, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 269-567-9835 Fax: 269-567-9841 | |
Meketa M Schlega, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1540 Lake Lansing Rd, Suite 107, Lansing, MI 48912 Phone: 517-913-3800 Fax: 517-913-3801 | |
James H. Deering, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 1540 Lake Lansing Rd Ste 107, Lansing, MI 48912 Phone: 517-913-3800 Fax: 517-913-3801 | |
Mark C Delano, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3220 Discovery Dr Ste 100, Lansing, MI 48910 Phone: 517-975-3794 Fax: 517-975-8923 |