| Dr Justine Elodia Henao, DO | |
|
1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | |
| (770) 844-3200 | |
| (404) 851-6325 |
| Full Name | Dr Justine Elodia Henao |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 24 Years |
| Location | 1200 Northside Forsyth Dr, Cumming, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902808645 | NPI | - | NPPES |
| 608048816A | Medicaid | GA | |
| 52703489 | Other | GA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 052580 (Georgia) | Secondary |
| 208M00000X | Hospitalist | 052580 (Georgia) | Secondary |
| 207R00000X | Internal Medicine | U5861 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holmes County Hospital And Clinics | Lexington, MS | Hospital |
| Hillsboro Area Hospital | Hillsboro, IL | Hospital |
| Baptist Health - Van Buren | Van buren, AR | Hospital |
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Louisiana Physicians Llc | 2365885944 | 47 |
| St. Bernard Physician Services, Llc | 6901166982 | 16 |
| Jefferson Davis Physician Services, Llc | 7517269152 | 18 |
| Jefferson Physician Services, Pllc | 0547610677 | 44 |
| South Texas Physician Services, Pllc | 5890145783 | 47 |
| North Texas Physician Services, Pllc | 6305295429 | 215 |
| Gulf Coast Physician Services, Pllc | 7214388826 | 95 |
| Flagg Emergency Group, Pllc | 5698008019 | 11 |
| Crawford Physician Services Pllc | 7517310014 | 8 |
| Mackinac Straits Health System Inc | 1456420876 | 24 |
| Hillsboro Area Hospital, Inc. | 4486547148 | 24 |
| Grenada Emergency Group, Llc | 2163854225 | 23 |
| Entity Name | Ambassador Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134237068 PECOS PAC ID: 7810099090 Enrollment ID: O20070219000160 |
| Entity Name | St. Martin Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528312584 PECOS PAC ID: 0446495410 Enrollment ID: O20130321000353 |
| Entity Name | Main Street Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396150785 PECOS PAC ID: 8022331909 Enrollment ID: O20141229001749 |
| Entity Name | Hub City Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992180566 PECOS PAC ID: 3173831211 Enrollment ID: O20151009000080 |
| Entity Name | Jefferson Davis Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942679352 PECOS PAC ID: 7517269152 Enrollment ID: O20160113001922 |
| Entity Name | St. Bernard Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114432341 PECOS PAC ID: 6901166982 Enrollment ID: O20180213000790 |
| Entity Name | Central Louisiana Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417738675 PECOS PAC ID: 9335598499 Enrollment ID: O20231214001308 |
| Entity Name | Southwest Louisiana Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972384139 PECOS PAC ID: 7315396355 Enrollment ID: O20231215000905 |
| Entity Name | Northeast Louisiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407637671 PECOS PAC ID: 2365885944 Enrollment ID: O20240212000148 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Justine Elodia Henao, DO 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 Ph: (770) 844-3200 | Dr Justine Elodia Henao, DO 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 Ph: (770) 844-3200 |
Raghunath R Katragadda, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200 Fax: 404-851-6325 | |
Otto Goyco, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Sanders Rd, Suite B, Cumming, GA 30041 Phone: 770-781-8840 Fax: 770-781-8098 | |
Ludy Lukose, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 407 East Maple Street, Suite 101, Cumming, GA 30040 Phone: 770-888-6697 Fax: 770-888-6698 | |
Dr. Arinze Hector Duru, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200 | |
Dr. Jeffrey Desalvo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200 Fax: 404-851-6325 | |
Dr. Fernando R. Alvarez-bognar, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 260 Elm St, Cumming, GA 30040 Phone: 770-887-1668 Fax: 770-781-9937 | |
Dr. Tyler Inchul An, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4150 Deputy Bill Cantrell Memorial Rd, Suite 290, Cumming, GA 30040 Phone: 404-446-0600 Fax: 404-446-0601 |