Dr Kathryn Lea Mccusker, MD | |
133 W Athens St, Winder, GA 30680-1786 | |
(770) 867-6633 | |
(770) 867-6703 |
Full Name | Dr Kathryn Lea Mccusker |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 133 W Athens St, Winder, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992926083 | NPI | - | NPPES |
760599920C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 060677 (Georgia) | Primary |
Entity Name | Medlink Georgia, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396794541 PECOS PAC ID: 3274442850 Enrollment ID: O20040303000376 |
Mailing Address | Practice Location Address |
---|---|
Dr Kathryn Lea Mccusker, MD Po Box 459, Colbert, GA 30628-0459 Ph: (706) 788-3234 | Dr Kathryn Lea Mccusker, MD 133 W Athens St, Winder, GA 30680-1786 Ph: (770) 867-6633 |
Dr. Marian Colosimo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 561 Jefferson Hwy, Winder, GA 30680 Phone: 770-867-7616 | |
Dr. Sharon Lyle Taylor, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 561 Jefferson Hwy, Winder, GA 30680 Phone: 770-867-7616 | |
Dr. Jeralyn S Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 133 W Athens St, Winder, GA 30680 Phone: 770-867-6633 Fax: 770-867-6703 | |
Dr. Walker Thomas Shoaf Iii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 561 Jefferson Hwy, Winder, GA 30680 Phone: 770-867-7616 | |
Dr. Nirdesh Kumar Sharma, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 133 W Athens St, Winder, GA 30680 Phone: 770-867-6633 |