Dr Daren C Wannamaker, DO | |
4285 Jim Moore Rd Ste 200, Dacula, GA 30019-1551 | |
(770) 442-1911 | |
(770) 442-0306 |
Full Name | Dr Daren C Wannamaker |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 32 Years |
Location | 4285 Jim Moore Rd Ste 200, Dacula, Georgia |
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 |
---|---|---|---|
1780795708 | NPI | - | NPPES |
003775SC | Medicaid | SC | |
25465600FL | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 55037 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Medical Group, P.c. | 3577559673 | 118 |
Entity Name | Piedmont Hospitalist Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548219660 PECOS PAC ID: 1951299163 Enrollment ID: O20040309000820 |
Entity Name | Southeast Medical Group, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347 |
Entity Name | Capital Healthcare Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811239627 PECOS PAC ID: 3779723309 Enrollment ID: O20190125000554 |
Mailing Address | Practice Location Address |
---|---|
Dr Daren C Wannamaker, DO 805 Peachtree St Ne, Ste A, Atlanta, GA 30308-6009 Ph: (443) 363-3953 | Dr Daren C Wannamaker, DO 4285 Jim Moore Rd Ste 200, Dacula, GA 30019-1551 Ph: (770) 442-1911 |
Dr. Andrew Dold, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3625 Braselton Hwy Ste 104, Dacula, GA 30019 Phone: 678-206-2111 | |
Dr. Rami Badr Arfoosh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2075 Hamilton Creek Pkwy Ste 200, Dacula, GA 30019 Phone: 770-586-0300 Fax: 770-586-0311 | |
Zhuocheng Su, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2069 Teron Trce Ste 100, Dacula, GA 30019 Phone: 678-730-1620 Fax: 678-730-0858 | |
Dr. Rachel Elizabeth Nisbet, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2075 Hamilton Creek Pkwy Ste 200, Dacula, GA 30019 Phone: 770-586-0300 Fax: 770-586-0311 | |
Dr. Holly Davidson Corley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3575 Braselton Hwy, Dacula, GA 30019 Phone: 770-848-5300 Fax: 770-848-5301 | |
Jia Wen Lee, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 Hog Mountain Rd Ste 101, Dacula, GA 30019 Phone: 770-614-7170 Fax: 770-614-8233 |