Reo Malachi Peniston, MD | |
1296 W Broad St, Groveland, FL 34736-2012 | |
(407) 905-8827 | |
(352) 429-5606 |
Full Name | Reo Malachi Peniston |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 20 Years |
Location | 1296 W Broad St, Groveland, 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 |
---|---|---|---|
1093974511 | NPI | - | NPPES |
108872000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 264985-1 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Orlando Health South Lake Hospital | Clermont, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Health Centers, Inc | 4082515390 | 42 |
Community Health Centers, Inc | 4082515390 | 42 |
Entity Name | Sun River Health Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375 |
Mailing Address | Practice Location Address |
---|---|
Reo Malachi Peniston, MD 110 S Woodland St, Winter Garden, FL 34787-3546 Ph: (407) 905-8827 | Reo Malachi Peniston, MD 1296 W Broad St, Groveland, FL 34736-2012 Ph: (407) 905-8827 |
Dr. Shea Ann Humphrey, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1296 W Broad St, Groveland, FL 34736 Phone: 352-429-4104 Fax: 352-429-4138 | |
Dr. Hafusat Abosede Oni, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1296 W Broad St, Groveland, FL 34736 Phone: 407-905-8827 Fax: 352-429-5606 | |
Nelia D D'hoste, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 E Broad St, Groveland, FL 34736 Phone: 352-429-4101 Fax: 352-429-4072 |