Mark Randall Jennings, MD | |
2015 Jackson St, Anderson, IN 46016-4337 | |
(765) 649-2511 | |
Not Available |
Full Name | Mark Randall Jennings |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 36 Years |
Location | 2015 Jackson St, Anderson, Indiana |
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 |
---|---|---|---|
1003915539 | NPI | - | NPPES |
100172700 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01037730 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension St Vincent Anderson | Anderson, IN | Hospital |
Ascension St Vincent Kokomo | Kokomo, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Vincent Medical Group Inc | 7012047640 | 626 |
Entity Name | Henry County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891570537 PECOS PAC ID: 6002724085 Enrollment ID: O20031121000221 |
Entity Name | St Vincent Physician Services Hospital And Health Care Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669422234 PECOS PAC ID: 9638072184 Enrollment ID: O20040223001092 |
Entity Name | St Vincent Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
Mailing Address | Practice Location Address |
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Mark Randall Jennings, MD 8840 Commerce Park Pl Ste E, Indianapolis, IN 46268-3129 Ph: () - | Mark Randall Jennings, MD 2015 Jackson St, Anderson, IN 46016-4337 Ph: (765) 649-2511 |
Dr. Dalwinderpal Singh Samra, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1547 Ohio Ave., Anderson, IN 46016 Phone: 609-694-8566 | |
Ubaidullah Sharief, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2020 Meridian St Ste 100, Anderson, IN 46016 Phone: 765-646-8509 | |
Adam L Greene, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 141 W 22nd St Ste 109, Anderson, IN 46016 Phone: 765-646-8538 | |
Chad Michael Feldman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 141 W 22nd St Ste 109, Anderson, IN 46016 Phone: 765-646-8538 | |
Dr. Edgardo Manuel Flores Anticona, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 Jackson St Ste 110, Anderson, IN 46016 Phone: 765-643-6012 Fax: 765-646-9054 | |
Kristine M Rea, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 141 W 22nd St Ste 212, Anderson, IN 46016 Phone: 765-648-4138 |