Jackson Henley, | |
820 N Chelan Ave, Wenatchee, WA 98801-2028 | |
(509) 663-8711 | |
Not Available |
Full Name | Jackson Henley |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 13 Years |
Location | 820 N Chelan Ave, Wenatchee, Washington |
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 |
---|---|---|---|
1578854899 | NPI | - | NPPES |
1578854899 | Medicaid | WA | |
P01419754 | Other | WA | RR PTAN CWH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD60451402 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Washington Hospital | Wenatchee, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Washington Health Services Association | 4880504596 | 644 |
Entity Name | Central Washington Health Services Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801937453 PECOS PAC ID: 4880504596 Enrollment ID: O20031106000287 |
Entity Name | Wenatchee Valley Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669719688 PECOS PAC ID: 9537309869 Enrollment ID: O20130716000034 |
Mailing Address | Practice Location Address |
---|---|
Jackson Henley, 820 N Chelan Ave, Wenatchee, WA 98801-2028 Ph: (509) 663-8711 | Jackson Henley, 820 N Chelan Ave, Wenatchee, WA 98801-2028 Ph: (509) 663-8711 |
Jonathan S Kim, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Dr. Steven Shem Rode, D.O. M.P.H. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 S Miller St, Wenatchee, WA 98801 Phone: 509-666-6561 Fax: 509-661-3550 | |
Justin Lugar, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 S Miller St, Wenatchee, WA 98801 Phone: 509-663-8711 | |
Dr. Thanhvan Dang Tran, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 S Miller St, Wenatchee, WA 98801 Phone: 509-662-1511 | |
Justen Pettigrew, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 S Miller St, Wenatchee, WA 98801 Phone: 509-662-1511 | |
Mary Cornelia Pinkston, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1201 S Miller St, Wenatchee, WA 98801 Phone: 509-662-1511 | |
Dr. Larry O Smith, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 S Miller St, Wenatchee, WA 98801 Phone: 509-663-8711 |