| Marcos Josue Pena, | |
|
2940 W Movi Trl, Chino Valley, AZ 86323-5083 | |
| (805) 793-9548 | |
| Not Available |
| Full Name | Marcos Josue Pena |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 2940 W Movi Trl, Chino Valley, 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 |
|---|---|---|---|
| 1366225013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastern Oklahoma Medical Center | Poteau, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stigler Health And Wellness Center Inc | 8022061373 | 46 |
| Entity Name | Stigler Health and Wellness Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891752853 PECOS PAC ID: 8022061373 Enrollment ID: O20050715000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcos Josue Pena, 1075 E Betteravia Rd, Santa Maria, CA 93454-7023 Ph: (805) 621-7651 | Marcos Josue Pena, 2940 W Movi Trl, Chino Valley, AZ 86323-5083 Ph: (805) 793-9548 |
Phung Le, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1934 N Highway 89, Chino Valley, AZ 86323 Phone: 928-667-1968 |
Nancy Olney, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1934 Az-89, Chino Valley, AZ 86323 Phone: 928-667-1968 |
Mariah Hoyt, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 87 S State Route 89, Chino Valley, AZ 86323 Phone: 928-404-1488 Fax: 866-232-8580 |
Kerry D Malin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1780 N State Route 89, Chino Valley, AZ 86323 Phone: 928-460-5214 |
Ms. Jenny L Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1780 N State Route 89, Chino Valley, AZ 86323 Phone: 928-460-5214 Fax: 928-441-2915 |
Ellina Rose Bastian, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1558 E Yorkshire Ave, Chino Valley, AZ 86323 Phone: 815-980-9155 |
Shawncey Mcpherson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 87 State Route 89, Chino Valley, AZ 86323 Phone: 928-404-1488 Fax: 866-232-8580 |