Randolph Mitchell Jenkins Jr, MD | |
95 Medical Park Blvd, Petersburg, VA 23805-9280 | |
(804) 504-8100 | |
Not Available |
Full Name | Randolph Mitchell Jenkins Jr |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 9 Years |
Location | 95 Medical Park Blvd, Petersburg, Virginia |
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 |
---|---|---|---|
1760878144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 0101261201 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health | Midlothian, VA | Home health agency |
Cjw Medical Center | Richmond, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gmgp Health Group, Llc | 9436561800 | 8 |
Entity Name | Gmgp Health Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144838608 PECOS PAC ID: 9436561800 Enrollment ID: O20201209002470 |
Entity Name | Lightyear Health Clinic Virginia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639822802 PECOS PAC ID: 5991190191 Enrollment ID: O20220325001768 |
Mailing Address | Practice Location Address |
---|---|
Randolph Mitchell Jenkins Jr, MD 95 Medical Park Blvd, Petersburg, VA 23805-9280 Ph: (804) 504-8100 | Randolph Mitchell Jenkins Jr, MD 95 Medical Park Blvd, Petersburg, VA 23805-9280 Ph: (804) 504-8100 |
Brian Michael Dena, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 95 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-504-8100 | |
Dr. Redouane Goulmamine, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 95 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-504-8100 Fax: 804-504-7795 | |
Sarah Combs, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3201 Holland Dr, Petersburg, VA 23805 Phone: 540-426-8244 |