| Dr Paul G Pagnini, MD | |
|
4051 Broad St Ste 120, San Luis Obispo, CA 93401-8722 | |
| (805) 439-9209 | |
| (805) 682-0519 |
| Full Name | Dr Paul G Pagnini |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 34 Years |
| Location | 4051 Broad St Ste 120, San Luis Obispo, 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 |
|---|---|---|---|
| 1225188105 | NPI | - | NPPES |
| 00G852530 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | G85253 (California) | Primary |
| 2085R0001X | Radiology - Radiation Oncology | 318449 (New York) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| New York-presbyterian Hospital | New york, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urology Associates Of The Central Coast | 4486750049 | 13 |
| Weill Medical College Of Cornell | 6800709023 | 2023 |
| Entity Name | Urology Associates of the Central Coast |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881785764 PECOS PAC ID: 4486750049 Enrollment ID: O20070428000115 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul G Pagnini, MD 225 Prado Rd Ste D, San Luis Obispo, CA 93401-7363 Ph: (805) 786-2500 | Dr Paul G Pagnini, MD 4051 Broad St Ste 120, San Luis Obispo, CA 93401-8722 Ph: (805) 439-9209 |
Dr. Gary Martin Hatch, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Monterey St, Suite 210, San Luis Obispo, CA 93401 Phone: 805-542-9700 Fax: 805-542-0584 |
Dr. Lisa Marie Wieler, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Monterey St, Suite 210, San Luis Obispo, CA 93401 Phone: 805-542-9700 Fax: 805-542-0584 |
Dr. Jeffrey Kai Wu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Casa St Ste C, San Luis Obispo, CA 93405 Phone: 805-541-1932 Fax: 805-541-1653 |
Dr. Michael Chervonski, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1010 Murray Ave, San Luis Obispo, CA 93405 Phone: 805-546-7600 |
Robert D Henretig, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2180 Johnson Ave, Ste A, San Luis Obispo, CA 93401 Phone: 805-269-1313 Fax: 805-269-1387 |
Robert Irl Fishburn, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 100 Casa St, Suite C, San Luis Obispo, CA 93405 Phone: 805-541-1932 Fax: 805-541-1653 |
Robert Ryn Johnson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Casa St Ste C, San Luis Obispo, CA 93405 Phone: 805-541-1932 Fax: 805-541-1653 |