Jacob Ray Henderson, DO in Jacksonville, FL - Medicare Internal Medicine

Jacob Ray Henderson, DO is a medicare enrolled "Internal Medicine - Nephrology" physician in Jacksonville, Florida. His current practice location is 4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 953-2000.

Jacob Ray Henderson is licensed to practice in Florida (license number OS21003) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487232401.

Contact Information

	Jacob Ray Henderson, DO
	4500 San Pablo Rd S, Jacksonville, FL 32224-1865
	(904) 953-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Ray Henderson
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	4500 San Pablo Rd S, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487232401
Provider Enumeration Date: 03/31/2021
Last Update Date: 10/21/2024

Medicare PECOS Information:

PECOS PAC ID: 7416356514
Enrollment ID: I20240604001443

Medical Identifiers

Medical identifiers for Jacob Ray Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487232401	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	OS21003 (Florida)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Ray Henderson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacob Ray Henderson, DO 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000	Jacob Ray Henderson, DO 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 Ph: (904) 953-2000

Reviews and Comments

Internal Medicine Doctors in Jacksonville, FL

Dr. Jami Ann Rothe Kinnucan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Michelle Tulang, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Minnsun Koh Park, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3900 University Blvd S, Jacksonville, FL 32216 Phone: 904-222-6656
Sandrela Mussallam Abu Shaibeh, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207 Phone: 904-202-3860 Fax: 904-202-3846
Krunal Patel, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256 Phone: 904-398-7205 Fax: 904-396-4047
Zaid Abdel Rahman, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Sina O'sullivan, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000

Jacob Ray Henderson, DO - Medicare Internal Medicine in Jacksonville, FL