Mr John Cenarosa Paguntalan, NP | |
157b S Greenwood Ave, Ware Shoals, SC 29692-1636 | |
(864) 456-3447 | |
(864) 725-4979 |
Full Name | Mr John Cenarosa Paguntalan |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 23 Years |
Location | 157b S Greenwood Ave, Ware Shoals, South Carolina |
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 |
---|---|---|---|
1669664728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 905 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Self Regional Healthcare | Greenwood, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Self Medical Group | 6002953916 | 281 |
Entity Name | Self Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916 Enrollment ID: O20091027000071 |
Entity Name | Self Regional Healthcare Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922582105 PECOS PAC ID: 1557606118 Enrollment ID: O20190129003656 |
Mailing Address | Practice Location Address |
---|---|
Mr John Cenarosa Paguntalan, NP 157b S Greenwood Ave, Ware Shoals, SC 29692-1636 Ph: (864) 456-3447 | Mr John Cenarosa Paguntalan, NP 157b S Greenwood Ave, Ware Shoals, SC 29692-1636 Ph: (864) 456-3447 |
Bennie S Henderson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 157 B S Greenwood Ave Ext, Ware Shoals, SC 29692 Phone: 864-456-3447 Fax: 864-725-4979 | |
Jessica Lynn Maffett, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 167 S Greenwood Ave, Ware Shoals, SC 29692 Phone: 864-389-4116 |