2705 E PINETREE BLVD STE C
THOMASVILLE, GA 31792-4875 US PECOS Enrolled
Overview
Johnny M Belenchia is a Pulmonologist in the THOMASVILLE area and has over 38 years of experience. Johnny M Belenchia primary office location is at 2705 E PINETREE BLVD STE C and new patients are welcome to contact this healthcare provider for an appointment. He attended University Of Mississippi School Of Medicine and graduated 1986
Johnny M Belenchia is affiliated with one hospital in the THOMASVILLE area, JOHN D ARCHBOLD MEMORIAL HOSPITAL. The NPI number is 1205850435 and the information was updated approximately 4 years ago.
Johnny M Belenchia is part of two medical groups, including ARCHBOLD MEDICAL GROUP, INC..
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 071207 | GA |
| 11332 | MS |
| Type/Issuer | Identifier | State |
|---|---|---|
| AMERICAN ADMIN GROUP | 1559353 | MS |
| RAILROAD MEDICARE | 290013888 | - |
| MEDICAID | 003142520A | GA |
| MEDICAID | 00124286 | MS |
| MEDICAID | 1419672 | LA |
| MEDICAID | 003142520B | GA |
| Taxonomy | State | Primary? |
|---|---|---|
| Pulmonologist - Taxonomy Code 207RP1001X | GA | Y |
| Pulmonologist - Taxonomy Code 207RP1001X | MS | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20140319002071 |
| PECOS Individual PAC ID: | 8628047610 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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