| Jon Fergenson, MD | |
|
2815 S Seacrest Blvd, Attention: Betsy Cox, Boynton Beach, FL 33435-7934 | |
| (561) 736-1200 | |
| (561) 742-1919 |
| Full Name | Jon Fergenson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 32 Years |
| Location | 2815 S Seacrest Blvd, Boynton Beach, Florida |
| 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 |
|---|---|---|---|
| 1609840453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | ME81998 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bethesda Hospital Inc | Boynton beach, FL | Hospital |
| Aventura Hospital And Medical Center | Aventura, FL | Hospital |
| Kendall Regional Medical Center | Miami, FL | Hospital |
| Westside Regional Medical Center | Plantation, FL | Hospital |
| Plantation General Hospital | Plantation, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baptist Outpatient Services Inc | 6002807385 | 163 |
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| Intellirad Imaging Llc | 9739333790 | 55 |
| Entity Name | Radiology Associates Of South Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699759183 PECOS PAC ID: 5799689659 Enrollment ID: O20031121000573 |
| Entity Name | Baptist Outpatient Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437127529 PECOS PAC ID: 6002807385 Enrollment ID: O20040527000618 |
| Entity Name | Mori Bean And Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Entity Name | Intellirad Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073859484 PECOS PAC ID: 9739333790 Enrollment ID: O20130129000484 |
| Entity Name | Connecticut Imaging Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740315761 PECOS PAC ID: 4183649098 Enrollment ID: O20220629000366 |
| Entity Name | Jefferson Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795951 PECOS PAC ID: 8729982525 Enrollment ID: O20220630001457 |
| Entity Name | Farmington Imaging Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275987802 PECOS PAC ID: 7719265651 Enrollment ID: O20250124000044 |
| Entity Name | Tic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457702813 PECOS PAC ID: 4880972819 Enrollment ID: O20250321001297 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Fergenson, MD 200 Knuth Rd, Suite 200, Boynton Beach, FL 33436-4629 Ph: (561) 736-1200 | Jon Fergenson, MD 2815 S Seacrest Blvd, Attention: Betsy Cox, Boynton Beach, FL 33435-7934 Ph: (561) 736-1200 |
Anne Lopez Ashouri, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2815 S Seacrest Blvd, Boynton Beach, FL 33435 Phone: 561-737-7733 | |
Dr. David Dahlenburg, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2815 S Seacrest Blvd, Boynton Beach, FL 33435 Phone: 561-737-7733 | |
Dr. Valerie D'aurora, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2815 S. Seacrest Blvd, Boynton Beach, FL 33435 Phone: 551-208-6680 | |
Carol Ann Vicinanza Adami, MD Radiology Medicare: Medicare Enrolled Practice Location: 2815 S Seacrest Blvd, Attention: Betsy Cox, Boynton Beach, FL 33435 Phone: 561-736-1200 Fax: 561-742-1919 | |
Fred Tow, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 8921 Raven Rock Ct, Boynton Beach, FL 33473 Phone: 941-356-2266 | |
Ariana Alvarez, MD Radiology Medicare: Medicare Enrolled Practice Location: 2815 S Seacrest Blvd, Attention Betsy Cox, Boynton Beach, FL 33435 Phone: 561-736-1200 Fax: 561-742-1919 | |
Richard Edelstein, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2815 S Seacrest Blvd, Attention: Betsy Cox, Boynton Beach, FL 33435 Phone: 561-736-1200 Fax: 561-742-1919 |