| Jerry Ellen Owensby, MD | |
| 
					871 Coronado Center Dr Ste 200, Henderson, NV 89052-3977  | |
| (702) 803-0034 | |
| Not Available | 
| Full Name | Jerry Ellen Owensby | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine | 
| Location | 871 Coronado Center Dr Ste 200, Henderson, Nevada | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1871524132 | NPI | - | NPPES | 
| 1023413 | Other | AZ | CIGNA PROVIDER NUMBER | 
| AZ0838370 | Other | AZ | BCBS PROVIDER NUMBER | 
| 2Z1452 | Other | AZ | HEALTHNET PROVIDER NUMBER | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 23843 (Arizona) | Primary | 
| Entity Name | Newco Hatfield Medical Group Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1578125233 PECOS PAC ID: 6002145612 Enrollment ID: O20190906002693  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jerry Ellen Owensby, MD 871 Coronado Center Dr Ste 200, Henderson, NV 89052-3977 Ph: (702) 803-0034  | Jerry Ellen Owensby, MD 871 Coronado Center Dr Ste 200, Henderson, NV 89052-3977 Ph: (702) 803-0034  | 
James B Gabroy, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1535 West Warm Spring Road, Suite 135, Henderson, NV 89014 Phone: 702-450-3385 Fax: 702-898-1699  | |
Dr. Poupak Bigger, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2641 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052 Phone: 702-616-0091 Fax: 702-616-2329  | |
Dr. Jeannette Nee, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2865 Siena Heights Dr, Suite 331, Henderson, NV 89052 Phone: 702-407-0110 Fax: 702-407-0133  | |
Wen Liang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2621 W Horizon Ridge Pkwy, Suite 150, Henderson, NV 89052 Phone: 702-837-6368 Fax: 702-837-0685  | |
Randy James Ip, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2865 Siena Heights Dr Ste 331, Henderson, NV 89052 Phone: 702-407-0110 Fax: 702-407-0133  | |
Dr. Hidenobu Shigemitsu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Saint Rose Pkwy, Henderson, NV 89052 Phone: 702-616-5615 Fax: 702-616-5120  | |
Linda Lou Johnson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 W Sunset Rd, Henderson, NV 89014 Phone: 725-269-7001 Fax: 725-269-7003  |