| Peter N Agomuo, MD | |
|
2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 | |
| (409) 466-3626 | |
| (337) 989-6732 |
| Full Name | Peter N Agomuo |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 34 Years |
| Location | 2810 Ambassador Caffery Pkwy, Lafayette, Louisiana |
| 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 |
|---|---|---|---|
| 1245236413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | K9206 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Citizens Medical Center | Victoria, TX | Hospital |
| De Tar Hospital Navarro | Victoria, TX | Hospital |
| Lavaca Medical Center | Hallettsville, TX | Hospital |
| Jackson Healthcare Center | Edna, TX | Hospital |
| Memorial Medical Center | Port lavaca, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Diagnostic Imaging Associates Pa | 5799765822 | 3 |
| Entity Name | Diagnostic Imaging Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104852664 PECOS PAC ID: 5799765822 Enrollment ID: O20040721000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter N Agomuo, MD Po Box 12553, Beaumont, TX 77726-2553 Ph: () - | Peter N Agomuo, MD 2810 Ambassador Caffery Pkwy, Lafayette, LA 70506-5906 Ph: (409) 466-3626 |
Dr. Rodney Severin Florek, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4801 Ambassador Caffery Parkway, Lourdes Rmc, Lafayette, LA 70508 Phone: 337-470-2180 Fax: 337-470-2180 | |
Dr. Julian J. Krawczyk, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4809 Ambassador Caffery Pkwy, Suite 100, Lafayette, LA 70508 Phone: 337-769-8660 Fax: 337-769-8661 | |
Dr. Robert C. Osborne, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-261-7970 | |
Dr. Kyle Jacob Degeyter, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-2000 | |
Mary Maitland Deland, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1507 Alice Dr, Lafayette, LA 70503 Phone: 337-989-0812 Fax: 337-284-3799 | |
Dr. Mian A. Ibrahim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-261-7970 | |
Dr. John Frederick Anderson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4809 Ambassador Caffery Pkwy, Suite 100, Lafayette, LA 70508 Phone: 337-769-8660 Fax: 337-769-8661 |