| Mr Eugene Jonathan C Eugenio, MD | |
|
483 N Semoran Blvd Ste 104, Winter Park, FL 32792-3800 | |
| (321) 436-0771 | |
| (407) 218-8906 |
| Full Name | Mr Eugene Jonathan C Eugenio |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 483 N Semoran Blvd Ste 104, Winter Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679534366 | NPI | - | NPPES |
| 64075161 | Medicaid | KY | |
| 000000331711 | Other | KY | ANTHEM BCBS |
| P00205115 | Other | KY | RAILROAD MEDICARE |
| 611033603 | Other | KY | HUMANA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 37901 (Kentucky) | Primary |
| Entity Name | Elite Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942208319 PECOS PAC ID: 2466496880 Enrollment ID: O20150311002147 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Eugene Jonathan C Eugenio, MD 2208 Terranova Ct, Lexington, KY 40513-1839 Ph: (859) 536-4189 | Mr Eugene Jonathan C Eugenio, MD 483 N Semoran Blvd Ste 104, Winter Park, FL 32792-3800 Ph: (321) 436-0771 |
Peter Bove, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1295 Orange Ave, Winter Park, FL 32789 Phone: 407-628-5051 Fax: 407-629-6096 | |
Hassan J Khan, MD Radiology Medicare: Medicare Enrolled Practice Location: 111 N Lakemont Ave, Winter Park, FL 32792 Phone: 407-975-3315 | |
Vijitha Reddy, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1110 W Fairbanks Ave, Winter Park, FL 32789 Phone: 407-629-7474 Fax: 407-629-7475 | |
Dr. Yuwei Chi, PHD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1561 W Fairbanks Ave Ste 100, Winter Park, FL 32789 Phone: 321-972-1102 Fax: 321-972-1132 | |
Christopher M Johns, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1295 Orange Avenue, Winter Park, FL 32789 Phone: 407-628-5051 Fax: 407-629-6096 | |
Michael Philip Bellew, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1605 W Fairbanks Ave, Winter Park, FL 32789 Phone: 407-975-0200 Fax: 407-975-0209 | |
Dr. Kelly E Lafave, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 483 N Semoran Blvd Ste 107, Winter Park, FL 32792 Phone: 407-539-0722 Fax: 407-539-0723 |