| 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 | 25 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 |
|---|---|---|
| Hillsboro Area Hospital | Hillsboro, IL | Hospital |
| Holmes County Hospital And Clinics | Lexington, MS | Hospital |
| Baptist Health - Van Buren | Van buren, AR | Hospital |
| Jennings American Legion Hospital | Jennings, LA | Hospital |
| Dardanelle Hospital | Dardanelle, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Michigan Physician Services Pc | 0143730671 | 67 |
| Grand Traverse Physician Services Pc | 2466963806 | 122 |
| Hillsboro Area Hospital, Inc. | 4486547148 | 34 |
| Jefferson Davis Physician Services, Llc | 7517269152 | 21 |
| Flagg Emergency Group, Pllc | 5698008019 | 12 |
| Crawford Physician Services Pllc | 7517310014 | 7 |
| Grenada Emergency Group, Llc | 2163854225 | 37 |
| Gulf Coast Physician Services, Pllc | 7214388826 | 100 |
| St. Bernard Physician Services, Llc | 6901166982 | 19 |
| Entity Name | Mackinac Straits Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659536035 PECOS PAC ID: 1456420876 Enrollment ID: O20080930000157 |
| 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 |