| 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 | 24 Years |
| Location | 1675 E Main St, Kent, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942407135 | NPI | - | NPPES |
| MD434156 | Other | PA | MEDICAL LICENSE |
| 2891545 | Medicaid | OH | |
| 35092647 | Other | OH | MEDICAL LICENSE |
| 002061184 | Other | PA | HIGHMARK |
| 1021420440001 | Medicaid | PA |
| 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, Inc | Lynchburg, VA | Hospital |
| Bedford Memorial Hospital | Bedford, VA | Hospital |
| Southside Community Hospital, Inc | Farmville, VA | Hospital |
| Wilson Medical Center | Wilson, NC | Hospital |
| East Cooper Medical Center | Mount pleasant, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Virginia Physicians Group | 4880590728 | 1685 |
| Centra Medical Group Llc | 4789606088 | 709 |
| Raleigh Radiology Associates Inc | 6800874611 | 58 |
| Entity Name | University of Virginia Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780 |
| Entity Name | Bath County Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417989278 PECOS PAC ID: 0840193819 Enrollment ID: O20040128000523 |
| Entity Name | Augusta Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245489590 PECOS PAC ID: 3678632544 Enrollment ID: O20081106000590 |
| Entity Name | Bath County Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1417989278 PECOS PAC ID: 0840193819 Enrollment ID: O20090223000484 |
| Entity Name | University of Virginia Imaging LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720233596 PECOS PAC ID: 2567479405 Enrollment ID: O20090421000339 |
| Entity Name | Augusta Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720717044 PECOS PAC ID: 1355248212 Enrollment ID: O20221229000080 |
| 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 |