| Carlos Ernesto Pena, PA | |
|
100 E 5th St, Douglas, AZ 85607-2859 | |
| (520) 364-7659 | |
| (520) 364-8541 |
| Full Name | Carlos Ernesto Pena |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 100 E 5th St, Douglas, Arizona |
| 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 |
|---|---|---|---|
| 1447408570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4229 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Copper Queen Community Hospital | Bisbee, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bisbee Hospital Association | 5092626168 | 55 |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Ernesto Pena, PA 1205 F. Avenue, Douglas, AZ 85607 Ph: (520) 364-1429 | Carlos Ernesto Pena, PA 100 E 5th St, Douglas, AZ 85607-2859 Ph: (520) 364-7659 |
Jacob Bonilla, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1608 S. Kings Hwy, Douglas, AZ 85607 Phone: 520-805-8162 | |
Robert Snyder Rodriguez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 F Ave, Douglas, AZ 85607 Phone: 520-364-3285 Fax: 520-364-4261 |