Dr Jae H Pak, MD | |
2160 Fountain Dr, Suite 200, Snellville, GA 30078-7022 | |
(770) 982-1111 | |
(770) 982-7280 |
Full Name | Dr Jae H Pak |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 34 Years |
Location | 2160 Fountain Dr, Snellville, 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 |
---|---|---|---|
1740280551 | NPI | - | NPPES |
10594474 | Other | GA | CAQH |
000678477E | Medicaid | GA | |
26BDJZQ | Other | GA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 040185 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Interim Healthcare Of Atlanta Inc | Atlanta, GA | Home health agency |
Entity Name | Jae H Pak Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184706996 PECOS PAC ID: 5698719904 Enrollment ID: O20050617000200 |
Entity Name | Jody Amazon Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396334330 PECOS PAC ID: 2466866322 Enrollment ID: O20210204001080 |
Mailing Address | Practice Location Address |
---|---|
Dr Jae H Pak, MD 2160 Fountain Dr, Suite 200, Snellville, GA 30078-7022 Ph: (770) 982-1111 | Dr Jae H Pak, MD 2160 Fountain Dr, Suite 200, Snellville, GA 30078-7022 Ph: (770) 982-1111 |
Thomas W Bantly, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1700 Tree Lane Road Sutie 260, Snellville, GA 30078 Phone: 770-736-7534 Fax: 770-736-8627 | |
Muhammad S Ahmed, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2160 Fountain Dr, Snellville, GA 30078 Phone: 678-344-8268 Fax: 888-627-6444 | |
Nilanee Antonette Karikaran, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2138 Scenic Hwy N, Suite E, Snellville, GA 30078 Phone: 678-209-1414 Fax: 678-395-3353 | |
Franckel Val, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2795 Main St W, 25-b, Snellville, GA 30078 Phone: 678-344-4465 Fax: 678-344-4485 | |
Nurat Abiola Aro-lambo, NP Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 478-464-8134 | |
Gregory William Melieste, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2301 Henry Clower Blvd, Suite A, Snellville, GA 30078 Phone: 770-978-9393 Fax: 770-978-9324 | |
Dr. Joshua Morris, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2160 Fountain Dr, Snellville, GA 30078 Phone: 770-982-2345 |