Dr Keyonna Micole Jenkins, MD is a
Physical Medicine & Rehabilitation - Pain Medicine physician based in Fort Gordon, Georgia. Dr Keyonna Micole Jenkins is licensed to practice in Texas (license number R8385) and her current practice location is 300 E Hospital Rd, Fort Gordon, Georgia. She can be reached at her office (for appointments etc.) via phone at
(067) 873-2867.
NPI number for Dr Keyonna Micole Jenkins is 1952749103 and her current mailing address is Dwight D Eisenhower Army Medical Center, 300 W Hospital Rd, Fort Gordon, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952749103.
Physician's Profile
| Full Name | Dr Keyonna Micole Jenkins |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
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| Location | 300 E Hospital Rd, Fort Gordon, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1952749103
- Provider Enumeration Date: 06/10/2013
- Last Update Date: 04/26/2023
Medical Identifiers
Medical identifiers for Dr Keyonna Micole Jenkins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952749103 | NPI | - | NPPES |
| 396151801 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | ME121166 (Florida) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | R8385 (Texas) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | R8385 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Keyonna Micole Jenkins is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Keyonna Micole Jenkins, MD
Dwight D Eisenhower Army Medical Center, 300 W Hospital Rd,
Fort Gordon, GA 30905-5741
Ph: () - | Dr Keyonna Micole Jenkins, MD
300 E Hospital Rd,
Fort Gordon, GA 30813-5741
Ph: (067) 873-2867 |
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