Dr Bassam Tome, MD | |
1277 Wellbrook Cir Ne, Suite C, Conyers, GA 30012-3873 | |
(770) 922-6669 | |
(770) 922-2412 |
Full Name | Dr Bassam Tome |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1277 Wellbrook Cir Ne, Conyers, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689730244 | NPI | - | NPPES |
52022872001 | Other | GA | BLUE CROSS BLUE SHIELD |
000412937B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 030911 (Georgia) | Primary |
Entity Name | Walker Lake Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003385964 PECOS PAC ID: 3870832843 Enrollment ID: O20190308002530 |
Mailing Address | Practice Location Address |
---|---|
Dr Bassam Tome, MD 1277 Wellbrook Cir Ne, Suite C, Conyers, GA 30012-3873 Ph: (770) 922-6669 | Dr Bassam Tome, MD 1277 Wellbrook Cir Ne, Suite C, Conyers, GA 30012-3873 Ph: (770) 922-6669 |
Dr. Sitharam Chowdary Nandigam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1612 Milstead Rd Ne, Suite A, Conyers, GA 30012 Phone: 678-413-3261 Fax: 678-413-3580 | |
Marshall David Almand, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1301 Well Brook Circle, Conyers, GA 30012 Phone: 770-922-3023 Fax: 770-929-1016 | |
Dr. Ekundayo Adedapo Falase, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1612 Milstead Rd Ne, Suite A, Conyers, GA 30012 Phone: 678-413-3261 Fax: 678-413-3580 | |
Mr. Richard Carter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1498 Klondike Rd Sw, Suite 106, Conyers, GA 30094 Phone: 770-761-7260 Fax: 678-413-1818 | |
Osarenomase Egharevba, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000 | |
Kawanjit Surapur, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 404-350-0009 | |
Dr. Christin-lauren Tanksley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1380 Milstead Ave Ne Ste C, Conyers, GA 30012 Phone: 770-918-2310 |