Jerry Ellen Owensby, MD | |
871 Coronado Center Dr Ste 200, Henderson, NV 89052-3977 | |
(702) 803-0034 | |
Not Available |
Full Name | Jerry Ellen Owensby |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 871 Coronado Center Dr Ste 200, Henderson, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871524132 | NPI | - | NPPES |
1023413 | Other | AZ | CIGNA PROVIDER NUMBER |
AZ0838370 | Other | AZ | BCBS PROVIDER NUMBER |
2Z1452 | Other | AZ | HEALTHNET PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 23843 (Arizona) | Primary |
Entity Name | Newco Hatfield Medical Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578125233 PECOS PAC ID: 6002145612 Enrollment ID: O20190906002693 |
Mailing Address | Practice Location Address |
---|---|
Jerry Ellen Owensby, MD 871 Coronado Center Dr Ste 200, Henderson, NV 89052-3977 Ph: (702) 803-0034 | Jerry Ellen Owensby, MD 871 Coronado Center Dr Ste 200, Henderson, NV 89052-3977 Ph: (702) 803-0034 |
James B Gabroy, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1535 West Warm Spring Road, Suite 135, Henderson, NV 89014 Phone: 702-450-3385 Fax: 702-898-1699 | |
Dr. Poupak Ziaei, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2641 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052 Phone: 702-616-0091 Fax: 702-616-2329 | |
Dr. Jeannette Nee, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2865 Siena Heights Dr, Suite 331, Henderson, NV 89052 Phone: 702-407-0110 Fax: 702-407-0133 | |
Wen Liang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2621 W Horizon Ridge Pkwy, Suite 150, Henderson, NV 89052 Phone: 702-837-6368 Fax: 702-837-0685 | |
Randy James Ip, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2865 Siena Heights Dr Ste 331, Henderson, NV 89052 Phone: 702-407-0110 Fax: 702-407-0133 | |
Linda Lou Johnson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 W Sunset Rd, Henderson, NV 89014 Phone: 725-269-7001 Fax: 725-269-7003 | |
Dr. Daejoon Anh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2865 Siena Heights Dr Ste 331, Henderson, NV 89052 Phone: 702-407-0110 Fax: 702-407-0133 |