Synergy Medical Centers Of Roswell, Llc is a medicare enrolled "Specialist" provider in Lake City, Georgia. Their current practice location is
5499 Jonesboro Rd, Suite 240, Lake City, Georgia. You can reach out to their office (for appointments etc.) via phone at
(770) 881-2191.
Synergy Medical Centers Of Roswell, Llc is licensed to practice in Georgia (license number 56072) and it also participates in the medicare program. Synergy Medical Centers Of Roswell, Llc
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 1215136890.
Healthcare Provider's Profile
| Full Name | Synergy Medical Centers Of Roswell, Llc |
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| Type | Facility |
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| Speciality | Specialist |
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| Location | 5499 Jonesboro Rd, Lake City, 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: 1215136890
- Provider Enumeration Date: 07/13/2007
- Last Update Date: 07/21/2015
Medicare PECOS Information:
- PECOS PAC ID: 5799870572
- Enrollment ID: O20071009000534
Medical Identifiers
Medical identifiers for Synergy Medical Centers Of Roswell, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215136890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | CHIR008003 (Georgia) | Secondary |
| 174400000X | Specialist | 56072 (Georgia) | Primary |
| 174400000X | Specialist | PT006876 (Georgia) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 22393 (Georgia) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Synergy Medical Centers Of Roswell, Llc acts as a billing entity for following providers:
| Provider Name | John P Lanier |
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| Provider Type | Practitioner - Obstetrics/gynecology |
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| Provider Identifiers | NPI Number: 1215976394
PECOS PAC ID: 2567436132
Enrollment ID: I20040820000729 |
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| Provider Name | David Peyroux |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1720021462
PECOS PAC ID: 7719915339
Enrollment ID: I20060914000170 |
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| Provider Name | Thomas J Locke |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1558595066
PECOS PAC ID: 9335289123
Enrollment ID: I20091230000163 |
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| Provider Name | Thomas Federico |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1114035243
PECOS PAC ID: 8729139357
Enrollment ID: I20121218000139 |
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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. Synergy Medical Centers Of Roswell, Llc 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 |
|---|
Synergy Medical Centers Of Roswell, Llc
1065 Bridge Mill Ave,
Canton, GA 30114-7717
Ph: (770) 581-2191 | Synergy Medical Centers Of Roswell, Llc
5499 Jonesboro Rd, Suite 240,
Lake City, GA 30260-3553
Ph: (770) 881-2191 |
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