Mark Jenkins, MD | |
701 W Main Blvd, Church Hill, TN 37642-3915 | |
(423) 282-1480 | |
(423) 928-1353 |
Full Name | Mark Jenkins |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 701 W Main Blvd, Church Hill, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558364810 | NPI | - | NPPES |
P01081201 | Other | TN | RAILROAD MEDICARE |
3052551 | Medicaid | TN | |
1558364810 | Medicaid | VA | |
5610222 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 21019 (Tennessee) | Primary |
Entity Name | Southeastern Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
Mailing Address | Practice Location Address |
---|---|
Mark Jenkins, MD Po Box 4018, Johnson City, TN 37602-4018 Ph: (423) 282-1480 | Mark Jenkins, MD 701 W Main Blvd, Church Hill, TN 37642-3915 Ph: (423) 282-1480 |
Dr. David Schilling, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 406 E Main Blvd, Church Hill, TN 37642 Phone: 423-357-6761 Fax: 423-357-2868 | |
Dr. Viorel Manole, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 406 E Main Blvd, Church Hill, TN 37642 Phone: 423-357-6761 Fax: 423-357-2868 |