Dr Glen Joseph Iannucci, MD | |
3300 Old Milton Pkwy Ste 100, Alpharetta, GA 30005-2425 | |
(404) 256-2593 | |
(770) 488-9408 |
Full Name | Dr Glen Joseph Iannucci |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 17 Years |
Location | 3300 Old Milton Pkwy Ste 100, Alpharetta, Georgia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972787760 | NPI | - | NPPES |
002845 | Other | GA | RESTRAINING PERMIT # |
003100495C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 002845 (Georgia) | Secondary |
2080P0202X | Pediatrics - Pediatric Cardiology | 064569 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Children's Healthcare Of Atlanta Cardiology Inc | 6901888395 | 20 |
Entity Name | Children's Healthcare Of Atlanta Cardiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235148727 PECOS PAC ID: 6901888395 Enrollment ID: O20040601000805 |
Mailing Address | Practice Location Address |
---|---|
Dr Glen Joseph Iannucci, MD 2835 Brandywine Rd, Suite 300, Atlanta, GA 30341-5510 Ph: (404) 256-2593 | Dr Glen Joseph Iannucci, MD 3300 Old Milton Pkwy Ste 100, Alpharetta, GA 30005-2425 Ph: (404) 256-2593 |
Mrs. Sandra S Zehnder, CPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3005 Royal Blvd S, Suite 110, Alpharetta, GA 30022 Phone: 770-442-5437 Fax: 770-664-7836 | |
Gabraella Drake-forte, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3400-c Old Milton Pkwy, Ste 490, Alpharetta, GA 30005 Phone: 678-297-0070 Fax: 678-297-0073 | |
Reanne Parrenas Stephansson, M.D.F.A.A.P Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11975 Morris Road, Ste 210, Alpharetta, GA 30005 Phone: 770-664-0088 Fax: 770-664-8228 | |
Dr. Thomas John Steimer Ii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3550 Preston Ridge Rd, Pediatrics Health Care Team A, Alpharetta, GA 30005 Phone: 770-663-3303 Fax: 770-663-3200 | |
Mrs. Danelle Phelps Wilson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3180 North Point Pkwy, Suite 410, Alpharetta, GA 30005 Phone: 770-664-0088 Fax: 770-664-8228 | |
Dr. Larue D Penny Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3400 Old Milton Pkwy, Suite 330/bldg A, Alpharetta, GA 30005 Phone: 770-751-6111 | |
Nancy H Gallups, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2365 Old Milton Pkwy, Suite 200, Alpharetta, GA 30004 Phone: 770-753-0053 Fax: 770-753-0021 |