Jose M Pena (NPI# 1356441125, PAC ID# 5597952549) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1356441125 |
| PAC ID by PECOS | 5597952549 |
| Professional Enrollment ID | I20101203000245 |
| Full Name | Jose M Pena |
| Organization Legal Name | NORTHEAST DELTA HUMAN SERVICES AUTHORITY |
| Address |
602 E Georgia Ave Ruston Behavioral Health Clinic Ruston LA 71270-3931 |
| Phone Number | 3182514125 |
| Gender | M |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1980 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 2961726005 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 602 E Georgia Ave, Ruston Behavioral Health Clinic, Ruston, LA 71270-3931 | 3182514125 | NORTHEAST DELTA HUMAN SERVICES AUTHORITY |
| Organization Legal Name | NORTHEAST DELTA HUMAN SERVICES AUTHORITY |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra Simien-turner | Clinical Social Worker | Northeast Delta Human Services Authority | 451 E Madison Ave, Bastrop, LA 71220-3829 |
| Karen K Ashley | Clinical Social Worker | Northeast Delta Human Services Authority | 1012 Johnson St, Tallulah, LA 71282-5216 |
| William P Ledford | Clinical Social Worker | Northeast Delta Human Services Authority | 4800 S Grand St, Monroe, LA 71202-6412 |
| Mary J Brooks | Clinical Social Worker | Northeast Delta Human Services Authority | 4800 S Grand St, Monroe, LA 71202-6412 |
| Michael B Beason | Psychiatry | Northeast Delta Human Services Authority | 4800 S Grand St, Monroe, LA 71202-6412 |
| Basavapunna R Kaza | Psychiatry | Northeast Delta Human Services Authority | 4800 S Grand St, Monroe, LA 71202-6412 |
| Leigh T Liles | Psychiatry | Northeast Delta Human Services Authority | 4800 S Grand St, Monroe, LA 71202-6412 |
| Rose M Baker | Clinical Social Worker | Northeast Delta Human Services Authority | 4800 S Grand St, Monroe, LA 71202-6412 |
| Satnam K Singh | Emergency Medicine | Northeast Delta Human Services Authority | 4800 S Grand St, Monroe, LA 71202-6412 |
| Martha A Phillips | Nurse Practitioner | Northeast Delta Human Services Authority | 4800 S Grand St, Monroe, LA 71202-6412 |
| Street Address |
602 E GEORGIA AVE RUSTON BEHAVIORAL HEALTH CLINIC |
| City | RUSTON |
| State | LA |
| Zip | 71270-3931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gary James Avallone | Optometry | Vision Associates Inc | 911 Tech Dr, Ruston, LA 71270-0701 |
| Sandra Lynn Coleman | Nurse Practitioner | Solutions Medical Consulting, LLC | 1495 Frazier Rd, Ruston, LA 71270-1632 |
| Charles S Simmons | Undersea and Hyperbaric Medicine | Solutions Medical Consulting, LLC | 1495 Frazier Rd, Ruston, LA 71270-1632 |
| Charles Furr | Physician Assistant | Northwood Medical Center | 2916 N Trenton St, Ruston, LA 71270-2444 |
| Benson Grigsby | Family Medicine | Northwood Medical Center | 2916 N Trenton St, Ruston, LA 71270-2444 |
| Robert Bruce Kirton | Podiatry | 105 E Reynolds Dr, Suite D, Ruston, LA 71270-2800 | |
| Joan P Cardin | Nurse Practitioner | Coastal Urgent Care, LLC | 1009 S Service Rd W, Ruston, LA 71270-2915 |
| Jereme Johnson | Physical Therapy | 1102 Cooktown Rd, Suite A, Ruston, LA 71270-3116 | |
| Gary P Higginbotham | Chiropractic | 712 N Trenton St, Ruston, LA 71270-3324 | |
| Lucy A Douglas | Nurse Practitioner | 927 N Trenton St, Ruston, LA 71270-3327 | |
| Find all physicians in zip 71270 | |||
| City | RUSTON |
| Zip Code | 71270 |
| Specialty | PSYCHIATRY |
| City + Specialty | RUSTON + PSYCHIATRY |
Please comment or provide details below to improve the information on Jose M 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.