Jonathan Kelsie Jennings, MD | |
1500 Ross Clark Cir, Dothan, AL 36301-4754 | |
(334) 793-2663 | |
(334) 836-2247 |
Full Name | Jonathan Kelsie Jennings |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 15 Years |
Location | 1500 Ross Clark Cir, Dothan, Alabama |
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 |
---|---|---|---|
1679708713 | NPI | - | NPPES |
175185 | Medicaid | AL | |
175468 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD.30641 (Alabama) | Primary |
207X00000X | Orthopaedic Surgery | 2014-00264 (North Carolina) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Flowers Hospital | Dothan, AL | Hospital |
Southeast Alabama Medical Center | Dothan, AL | Hospital |
Medical Center Barbour | Eufaula, AL | Hospital |
Dale Medical Center | Ozark, AL | Hospital |
Jackson Hospital | Marianna, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
S.b.j.s. Pc | 8527043421 | 38 |
Entity Name | S.b.j.s. Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134106065 PECOS PAC ID: 8527043421 Enrollment ID: O20040623001355 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Kelsie Jennings, MD Po Box 729, Dothan, AL 36302-0729 Ph: (334) 793-2663 | Jonathan Kelsie Jennings, MD 1500 Ross Clark Cir, Dothan, AL 36301-4754 Ph: (334) 793-2663 |
Dr. Timothy M. Haley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2247 | |
Dr. Judson B. Moore, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2247 | |
Jeremiah J Maddox, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2248 | |
Dr. Orvis Hugh Chitwood Iii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2247 | |
Dr. John H. Haley Jr., M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2247 | |
Dr. J. Paul Maddox, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2247 | |
Dr. Patrick Daniel Guin, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-2663 Fax: 334-836-2247 |