| Dr Mary Dale Jenkins, MD | |
|
366 N Broadway, Suite 305, Jericho, NY 11753-2025 | |
| (516) 935-7272 | |
| (516) 935-7282 |
| Full Name | Dr Mary Dale Jenkins |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 366 N Broadway, Jericho, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316005895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 154307 (New York) | Primary |
| Entity Name | Prohealth Care Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275596280 PECOS PAC ID: 4486544186 Enrollment ID: O20040317000468 |
| Entity Name | Optum Urgent Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285975797 PECOS PAC ID: 8628299518 Enrollment ID: O20141017000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Dale Jenkins, MD 366 N Broadway, Suite 305, Jericho, NY 11753-2025 Ph: (516) 935-7272 | Dr Mary Dale Jenkins, MD 366 N Broadway, Suite 305, Jericho, NY 11753-2025 Ph: (516) 935-7272 |
Scott Phillip Bloom, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 380 N Broadway Ste 307, Jericho, NY 11753 Phone: 516-835-4092 Fax: 516-338-2901 | |
Dr. Lesley Rechter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 54 Birchwood Park Dr, Jericho, NY 11753 Phone: 516-933-6850 Fax: 516-933-2157 | |
Paris Ead Phillips, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 222 Birchwood Park Dr, Jericho, NY 11753 Phone: 516-942-4444 Fax: 516-942-5516 | |
Dr. Octavian G Austriacu, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Yates Ln, Jericho, NY 11753 Phone: 516-547-1220 Fax: 631-526-9202 | |
Ms. Dorit Ben-moha, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 N Broadway, Jericho, NY 11753 Phone: 516-827-1515 Fax: 516-342-6505 |