| Dr Jack David Heneisen, MD | |
|
1214 N Columbia Ave., Unit D, Rincon, GA 31326 | |
| (912) 826-2132 | |
| (912) 826-2141 |
| Full Name | Dr Jack David Heneisen |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1214 N Columbia Ave., Rincon, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447310115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 022780 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack David Heneisen, MD Po Box 2089, Rincon, GA 31326-2089 Ph: (912) 826-2132 | Dr Jack David Heneisen, MD 1214 N Columbia Ave., Unit D, Rincon, GA 31326 Ph: (912) 826-2132 |
Jacqueline A Caffrey, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 423 S. Columbia Avenue, Rincon, GA 31326 Phone: 912-826-8860 Fax: 912-826-2813 | |
Dr. Willert Howard Lynn Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Towne Park Dr, Suite 400, Rincon, GA 31326 Phone: 912-826-1220 Fax: 912-826-1216 | |
Susan R Reinheimer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 423 S. Columbia Avenue, Rincon, GA 31326 Phone: 912-819-1000 Fax: 912-823-2813 | |
Slavko Kukucka, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 119 Chimney Rd, Rincon, GA 31326 Phone: 912-826-0229 Fax: 912-826-0449 | |
Maria E Rivera, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Goshen Rd, Rincon, GA 31326 Phone: 912-826-6000 Fax: 912-826-6016 | |
Dr. Xiaofeng Zhong, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 100 Goshen Rd, Rincon, GA 31326 Phone: 912-826-6000 |