Jennifer Lynne Whitehead, MD | |
830 W High St Ste 102, Lima, OH 45801-3972 | |
(419) 222-4045 | |
(419) 228-5665 |
Full Name | Jennifer Lynne Whitehead |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 830 W High St Ste 102, Lima, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316366099 | NPI | - | NPPES |
0223885 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 131285 (Ohio) | Secondary |
208000000X | Pediatrics | 131285 (Ohio) | Primary |
Entity Name | Pediatric Academic Association, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Lynne Whitehead, MD 830 W High St, St 102, Lima, OH 45801-3971 Ph: (419) 222-4045 | Jennifer Lynne Whitehead, MD 830 W High St Ste 102, Lima, OH 45801-3972 Ph: (419) 222-4045 |
Hussein Ibrahim Kashk, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 967 Bellefontaine Ave, Lima, OH 45804 Phone: 419-996-5895 | |
Albert Anthony Phillips Ii, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361 | |
Dr. Sheilla D Mcneal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 830 W High St, Suite 102, Lima, OH 45801 Phone: 419-222-4045 Fax: 419-228-5665 | |
Dr. Teresa Jean Byrne, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 830 W High St, Suite 102 And Suite 201, Lima, OH 45801 Phone: 419-222-4045 Fax: 419-228-5665 | |
Taylor Hartlaub, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361 | |
Magdalino M Tatad, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-226-9065 | |
Dr. Rajbir Singh Bajwa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 830 W High St, Suite 102, Lima, OH 45801 Phone: 419-222-4045 Fax: 419-228-5665 |