| Mark Girish Jablonski, MD | |
|
1675 E Main St, Box 328, Kent, OH 44240-5818 | |
| (330) 593-1030 | |
| (330) 677-8770 |
| Full Name | Mark Girish Jablonski |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 23 Years |
| Location | 1675 E Main St, Kent, Ohio |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942407135 | NPI | - | NPPES |
| 2891545 | Medicaid | OH | |
| 1021420440001 | Medicaid | PA | |
| MD434156 | Other | PA | MEDICAL LICENSE |
| 002061184 | Other | PA | HIGHMARK |
| 35092647 | Other | OH | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101253063 (Virginia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 35.092647 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centra Health - Lynchburg Gen Hospital | Lynchburg, VA | Hospital |
| Centra Southside Community Hospital, Inc | Farmville, VA | Hospital |
| Centra Bedford Memorial Hospital | Bedford, VA | Hospital |
| Wilson Medical Center | Wilson, NC | Hospital |
| Wakemed, Raleigh Campus | Raleigh, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Foundation Radiology Group Pc | 3779683537 | 82 |
| Centra Medical Group Llc | 4789606088 | 681 |
| University Hospitals Medical Group Inc | 4789682493 | 1735 |
| Raleigh Radiology Associates Inc | 6800874611 | 56 |
| Augusta Health Care Inc | 1355248212 | 59 |
| Augusta Medical Group | 3678632544 | 363 |
| University Of Virginia Physicians Group | 4880590728 | 1547 |
| Entity Name | Highlands Hospital And Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447443957 PECOS PAC ID: 2769460757 Enrollment ID: O20040707001195 |
| Entity Name | Foundation Radiology Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740482686 PECOS PAC ID: 3779683537 Enrollment ID: O20070709000274 |
| Entity Name | Fayette Physician Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992107817 PECOS PAC ID: 3375865819 Enrollment ID: O20141211000851 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20191024000823 |
| Entity Name | Raleigh Radiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811920101 PECOS PAC ID: 6800874611 Enrollment ID: O20230921000069 |
| Entity Name | Centra Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649228966 PECOS PAC ID: 4789606088 Enrollment ID: O20231005003163 |
| Entity Name | University Of Louisville Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316294127 PECOS PAC ID: 3476725599 Enrollment ID: O20231027000280 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Girish Jablonski, MD 1675 E Main St, Box 328, Kent, OH 44240-5818 Ph: (330) 593-1030 | Mark Girish Jablonski, MD 1675 E Main St, Box 328, Kent, OH 44240-5818 Ph: (330) 593-1030 |
Nancy Ann Hallo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1675 East Main Street, Box 328, Kent, OH 44240 Phone: 330-593-1049 Fax: 330-572-3836 | |
Dr. Paul L Chesis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1675 E Main St, Box 328, Kent, OH 44240 Phone: 330-593-1049 Fax: 330-572-3836 | |
Dr. Bert David Collier Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1675 E Main St, Box 328, Kent, OH 44240 Phone: 330-593-1030 Fax: 330-572-3836 | |
Dr. Jonah Ralph Moon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1675 E Main St, Box 328, Kent, OH 44240 Phone: 330-593-1049 Fax: 330-572-3836 | |
Dr. Cory Allen Kutlick, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1675 E Main St, Box 328, Kent, OH 44240 Phone: 330-593-1049 Fax: 330-572-3836 | |
Dr. Antonio Carlos Bernaud Burnett, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1675 E Main St, Box 328, Kent, OH 44240 Phone: 330-593-1049 Fax: 330-572-3836 | |
Ralph J Perrico Iii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1675 E Main St, Box 328, Kent, OH 44240 Phone: 330-593-1030 Fax: 330-572-3836 |