| Randolph Mitchell Jenkins Jr, MD | |
|
95 Medical Park Blvd, Petersburg, VA 23805-9280 | |
| (804) 504-8100 | |
| Not Available |
| Full Name | Randolph Mitchell Jenkins Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 11 Years |
| Location | 95 Medical Park Blvd, Petersburg, Virginia |
| 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 |
|---|---|---|---|
| 1760878144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 0101261201 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Midlothian, VA | Home health agency |
| Cjw Medical Center | Richmond, VA | Hospital |
| Henrico Doctors' Hospital | Richmond, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gmgp Health Group Llc | 9436561800 | 13 |
| Entity Name | Gmgp Health Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144838608 PECOS PAC ID: 9436561800 Enrollment ID: O20201209002470 |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph Mitchell Jenkins Jr, MD 95 Medical Park Blvd, Petersburg, VA 23805-9280 Ph: (804) 504-8100 | Randolph Mitchell Jenkins Jr, MD 95 Medical Park Blvd, Petersburg, VA 23805-9280 Ph: (804) 504-8100 |
Brian Michael Dena, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 95 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-504-8100 | |
Sarah Combs, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3201 Holland Dr, Petersburg, VA 23805 Phone: 540-426-8244 |