Advanta Total Health is a medicare enrolled "General Practice" provider in Marietta, Georgia. Their current practice location is
1720 Powers Ferry Rd, Suite 100, Marietta, Georgia. You can reach out to their office (for appointments etc.) via phone at
(770) 955-2225.
Advanta Total Health is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Advanta Total Health
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1609158096.
Healthcare Provider's Profile
| Full Name | Advanta Total Health |
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| Type | Facility |
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| Speciality | General Practice |
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| Location | 1720 Powers Ferry Rd, Marietta, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1609158096
- Provider Enumeration Date: 09/13/2011
- Last Update Date: 11/21/2012
Medicare PECOS Information:
- PECOS PAC ID: 9436301009
- Enrollment ID: O20140618001431
Medical Identifiers
Medical identifiers for Advanta Total Health such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609158096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (Georgia) | Secondary |
| 207R00000X | Internal Medicine | (Georgia) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Advanta Total Health is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Advanta Total Health
1720 Powers Ferry Rd, Suite 100,
Marietta, GA 30067-5442
Ph: (770) 955-2225 | Advanta Total Health
1720 Powers Ferry Rd, Suite 100,
Marietta, GA 30067-5442
Ph: (770) 955-2225 |
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