| Enrique Pena, | |
|
111 S Front St, Harrisburg, PA 17101-2010 | |
| (717) 988-0000 | |
| (717) 782-5716 |
| Full Name | Enrique Pena |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 14 Years |
| Location | 111 S Front St, Harrisburg, Pennsylvania |
| 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 |
|---|---|---|---|
| 1891038485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 289905 (New York) | Secondary |
| 207P00000X | Emergency Medicine | MD480376 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercyone Waterloo Medical Center | Waterloo, IA | Hospital |
| Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Waterloo Emergency Physicians, Llc | 5092246967 | 22 |
| Mcleod Regional Medical Center Of The Pee Dee Inc | 7416851852 | 409 |
| Entity Name | Trinity Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073594156 PECOS PAC ID: 7315858529 Enrollment ID: O20031204000921 |
| Entity Name | Des Moines River Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720472442 PECOS PAC ID: 0143549634 Enrollment ID: O20150505001794 |
| Entity Name | Waterloo Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649013038 PECOS PAC ID: 5092246967 Enrollment ID: O20241002002176 |
| Mailing Address | Practice Location Address |
|---|---|
| Enrique Pena, 27005 76th Ave, New Hyde Park, NY 11040-1402 Ph: () - | Enrique Pena, 111 S Front St, Harrisburg, PA 17101-2010 Ph: (717) 988-0000 |
Joseph Eli Benaknin, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-5908 Fax: 717-782-5716 | |
Dr. Katie J Miller, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-988-0000 Fax: 717-782-5716 | |
Dr. Andrea Marguerite Sterste, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-988-0000 Fax: 717-782-5716 | |
Dr. Gerald Edward Fronko, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-988-0000 Fax: 717-782-5716 | |
Dr. Tyler Thomas Hempel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-988-0000 Fax: 717-782-5716 | |
Dr. Mary M Bonar, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-3380 Fax: 717-782-5716 | |
Dr. Courtney A Devlin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-988-0000 Fax: 717-782-5716 |