Enrique Pena (NPI# 1891038485, PAC ID# 4284907734) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1891038485 |
| PAC ID by PECOS | 4284907734 |
| Professional Enrollment ID | I20190801001607 |
| Full Name | Enrique Pena |
| Organization Legal Name | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Address |
806 Hwy 17 S North Myrtle Beach SC 29582-3429 |
| Phone Number | 8004243672 |
| Gender | M |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2012 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5193620714 |
| Number of Group Practice Members | 172 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420085 | GRAND STRAND REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 806 Hwy 17 S, North Myrtle Beach, SC 29582-3429 | 8004243672 | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Organization Legal Name | ACS PRIMARY CARE PHYSICIANS - SOUTHEAST PC |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carey Christiansen Ford | Family Medicine | Acs Primary Care Physicians - Southeast PC | 1000 Medical Ctr Dr, Hardeeville, SC 29927-3446 |
| Peter K Brady | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 349 Tidewatch Dr, Bluffton, SC 29910-9321 |
| Melissa Rosado | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Arash Albekord | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 10 E Hospital St, Manning, SC 29102-3153 |
| Angela Penix | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 350 Hospital Dr, Macon, GA 31217-3838 |
| Bettie S Stem | Nurse Practitioner | Acs Primary Care Physicians - Southeast PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Tiffany D Jackson | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 222 S Herlong Ave, Rock Hill, SC 29732-1158 |
| Kenneth L Grotz | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 3651 Wheeler Rd, Augusta, GA 30909-6521 |
| Reda Saadal Hallaba | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 501 Robertson Blvd, Walterboro, SC 29488-2787 |
| Michael Coletta | Emergency Medicine | Acs Primary Care Physicians - Southeast PC | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 |
| Street Address |
806 HWY 17 S |
| City | NORTH MYRTLE BEACH |
| State | SC |
| Zip | 29582-3429 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cara S Ferguson | Internal Medicine | North Myrtle Beach Internal Medicine | 2021 N Myrtle Point Blvd, Suite 101, North Myrtle Beach, SC 29582-2224 |
| Richard L Young | Orthopedic Surgery | 2021 N Myrtle Point Blvd, North Myrtle Beach, SC 29582-2224 | |
| Elma D Whidby | Internal Medicine | North Myrtle Beach Internal Medicine | 2021 N Myrtle Point Blvd, Suite 101, North Myrtle Beach, SC 29582-2224 |
| Aaron Westerlund | Optometry | Down East Eye Associates LLC | 1516 Hwy 17 N 5, North Myrtle Beach, SC 29582-2276 |
| Susan A Holt | Optometry | Down East Eye Associates LLC | 1516 Hwy 17 N 5, North Myrtle Beach, SC 29582-2276 |
| Kellie M Lewis | Clinical Social Worker | Real Counseling LLC | 1124 Sea Mountain Hwy, Unit 5, North Myrtle Beach, SC 29582-2280 |
| Carol A Fletcher | Clinical Social Worker | Real Counseling LLC | 1124 Sea Mountain Hwy, Unit 5, North Myrtle Beach, SC 29582-2280 |
| Sherry Kidner | Clinical Social Worker | Real Counseling LLC | 1124 Sea Mountain Hwy, Unit 5, North Myrtle Beach, SC 29582-2280 |
| Cara L Nelsen | Clinical Social Worker | Real Counseling LLC | 1124 Sea Mountain Hwy, Unit 5, North Myrtle Beach, SC 29582-2280 |
| Mary C Messner | Clinical Social Worker | Real Counseling LLC | 1124 Sea Mountain Hwy, Unit 5, North Myrtle Beach, SC 29582-2280 |
| Find all physicians in zip 29582 | |||
| City | NORTH MYRTLE BEACH |
| Zip Code | 29582 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | NORTH MYRTLE BEACH + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Enrique Pena.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.