| Luis Pagoaga, MD | |
|
101 Garrett Dr., Medina, TN 38355-9641 | |
| (731) 422-0213 | |
| (731) 462-5070 |
| Full Name | Luis Pagoaga |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 101 Garrett Dr., Medina, Tennessee |
| 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 |
|---|---|---|---|
| 1225032956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29003 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital - Carroll County | Huntingdon, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jackson Clinic Pa | 2668376872 | 171 |
| Emergency Coverage Llc | 3072412592 | 761 |
| Entity Name | Jackson Clinic PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285629386 PECOS PAC ID: 2668376872 Enrollment ID: O20040318000962 |
| Entity Name | Emergency Coverage LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050207000666 |
| Entity Name | Emergency Medical Care Facilities PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538345855 PECOS PAC ID: 6103837877 Enrollment ID: O20060509000565 |
| Entity Name | Southeastern Physician Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Entity Name | Hospital Medicine Services of Tennessee PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528433802 PECOS PAC ID: 9234432881 Enrollment ID: O20160114002673 |
| Mailing Address | Practice Location Address |
|---|---|
| Luis Pagoaga, MD P.o. Box 400, Jackson, TN 38302-0400 Ph: (731) 423-8697 | Luis Pagoaga, MD 101 Garrett Dr., Medina, TN 38355-9641 Ph: (731) 422-0213 |
Dr. Michael Edward Ort, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 713 Blackmon St, Medina, TN 38355 Phone: 731-212-4495 Fax: 866-963-0164 |
Rachel Alexandra Nelson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Garrett Dr, Medina, TN 38355 Phone: 731-422-0355 Fax: 731-462-5070 |