Jason Lemarr Henry, MD | |
220 Hovey Rd, Naval Aerospace Medicine Institute, Pensacola, FL 32508-1044 | |
(850) 452-9484 | |
Not Available |
Full Name | Jason Lemarr Henry |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 220 Hovey Rd, Pensacola, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932188174 | NPI | - | NPPES |
QD405 | Other | FL | MEDICARE PTAN OHRI |
114629300 | Medicaid | FL | |
84NCY | Other | FL | BCBS |
QD404 | Other | FL | MEDICARE PTAN OHMG |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083A0100X | Preventive Medicine - Aerospace Medicine | 0101238546 (Virginia) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | ME157587 (Florida) | Primary |
Entity Name | Cleveland Clinic Florida (a Nonprofit Corporation) |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215989298 PECOS PAC ID: 7911807128 Enrollment ID: O20040113000394 |
Entity Name | Orlando Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
Entity Name | Ohri Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386034346 PECOS PAC ID: 4981912169 Enrollment ID: O20151008000809 |
Mailing Address | Practice Location Address |
---|---|
Jason Lemarr Henry, MD 366 Mizzen Ln, Pensacola, FL 32507-8681 Ph: (757) 271-3494 | Jason Lemarr Henry, MD 220 Hovey Rd, Naval Aerospace Medicine Institute, Pensacola, FL 32508-1044 Ph: (850) 452-9484 |
Dr. Christopher John Manganello, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 6000 W Highway 98, Pensacola, FL 32512 Phone: 850-505-6601 | |
Robert Marcus Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1545 Airport Blvd, Suite 1000, Pensacola, FL 32504 Phone: 850-416-6770 Fax: 850-416-7770 | |
Dr. Steven J Sukstorf, MD Radiology Medicare: Medicare Enrolled Practice Location: 4511 N Davis Hwy, Ste 1b, Pensacola, FL 32503 Phone: 850-484-8454 | |
Robert M Smith Ii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 West Moreno Street, Pensacola, FL 32501 Phone: 850-436-4951 Fax: 850-438-6767 | |
Dr. Donald W Farmer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-6020 | |
Dr. William R. Balchunas, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-6020 | |
Dr. Warren Ross, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: Nmotc Attn: Credentials Office, 220 Hovey Rd, Pensacola, FL 32508 Phone: 850-452-9484 |