| Jason Lemarr Henry, MD | |
|
220 Hovey Rd, Naval Aerospace Medicine Institute, Pensacola, FL 32508-1044 | |
| (850) 452-9484 | |
| Not Available |
| Full Name | Jason Lemarr Henry |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 220 Hovey Rd, Pensacola, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932188174 | NPI | - | NPPES |
| QD405 | Other | FL | MEDICARE PTAN OHRI |
| 114629300 | Medicaid | FL | |
| 84NCY | Other | FL | BCBS |
| QD404 | Other | FL | MEDICARE PTAN OHMG |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 0101238546 (Virginia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME157587 (Florida) | Primary |
| Entity Name | Cleveland Clinic Florida (a Nonprofit Corporation) |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215989298 PECOS PAC ID: 7911807128 Enrollment ID: O20040113000394 |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Entity Name | Ohri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386034346 PECOS PAC ID: 4981912169 Enrollment ID: O20151008000809 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Lemarr Henry, MD 366 Mizzen Ln, Pensacola, FL 32507-8681 Ph: (757) 271-3494 | Jason Lemarr Henry, MD 220 Hovey Rd, Naval Aerospace Medicine Institute, Pensacola, FL 32508-1044 Ph: (850) 452-9484 |
Dr. Christopher John Manganello, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 6000 W Highway 98, Pensacola, FL 32512 Phone: 850-505-6601 | |
Robert Marcus Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1545 Airport Blvd, Suite 1000, Pensacola, FL 32504 Phone: 850-416-6770 Fax: 850-416-7770 | |
Dr. Steven J Sukstorf, MD Radiology Medicare: Medicare Enrolled Practice Location: 4511 N Davis Hwy, Ste 1b, Pensacola, FL 32503 Phone: 850-484-8454 | |
Robert M Smith Ii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 West Moreno Street, Pensacola, FL 32501 Phone: 850-436-4951 Fax: 850-438-6767 | |
Dr. Donald W Farmer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-6020 | |
Dr. William R. Balchunas, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5151 N 9th Ave, Pensacola, FL 32504 Phone: 850-416-6020 | |
Dr. Warren Ross, MD Radiology Medicare: Medicare Enrolled Practice Location: Nmotc Attn: Credentials Office, 220 Hovey Rd, Pensacola, FL 32508 Phone: 850-452-9484 |