Dr Jenson T Mathew, MD | |
367 Clear Creek Pkwy, Lavonia, GA 30553-4173 | |
(912) 584-9416 | |
Not Available |
Full Name | Dr Jenson T Mathew |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 367 Clear Creek Pkwy, Lavonia, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285291070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 91384 (Georgia) | Primary |
207Q00000X | Family Medicine | 10952 (Georgia) | Secondary |
208M00000X | Hospitalist | 91384 (Georgia) | Secondary |
Entity Name | Cogent Healthcare Of Georgia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
Entity Name | Apogee Medical Group Georgia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629025143 PECOS PAC ID: 4587676945 Enrollment ID: O20060629000214 |
Entity Name | Metro Medical Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982619789 PECOS PAC ID: 2567568603 Enrollment ID: O20070507000020 |
Mailing Address | Practice Location Address |
---|---|
Dr Jenson T Mathew, MD 3085 Scarlet Oak Pass, Cumming, GA 30041-1648 Ph: (912) 584-9416 | Dr Jenson T Mathew, MD 367 Clear Creek Pkwy, Lavonia, GA 30553-4173 Ph: (912) 584-9416 |
Priya Patel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 12192 Augusta Rd, Lavonia, GA 30553 Phone: 706-356-1072 | |
Dr. Jonathan E Hall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12192 Augusta Rd, Lavonia, GA 30553 Phone: 706-356-1072 | |
Crystal D Bright, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 Clear Creek Pkwy Ste 1003, Lavonia, GA 30553 Phone: 706-356-1422 Fax: 706-356-1425 |