Dr Kenneth L Boss, MD | |
705 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1247 | |
(770) 456-4411 | |
(770) 812-3582 |
Full Name | Dr Kenneth L Boss |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 25 Years |
Location | 705 Dallas Hwy, Villa Rica, 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 |
---|---|---|---|
1104891472 | NPI | - | NPPES |
277491774A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 052425 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstreet Of Georgia Pc | 7517126279 | 384 |
Entity Name | Tanner Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396979787 PECOS PAC ID: 2769536143 Enrollment ID: O20090819000657 |
Entity Name | Wellstreet Of Georgia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth L Boss, MD 119 Ambulance Dr, Suite 202, Carrollton, GA 30117-3857 Ph: (770) 838-8710 | Dr Kenneth L Boss, MD 705 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1247 Ph: (770) 456-4411 |
James Larry Boss, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 517 Leslie Dr, Villa Rica, GA 30180 Phone: 770-459-5179 | |
Dr. Virginia H Price, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Dallas Hwy Ste 101, Villa Rica, GA 30180 Phone: 770-459-4411 Fax: 770-459-1896 | |
Dr. Henry Charles Guthery Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 809 W Bankhead Hwy Ste D, Villa Rica, GA 30180 Phone: 678-615-9519 | |
Mrs. Chandrika Garg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Quartz Dr, Suite 101, Villa Rica, GA 30180 Phone: 770-949-7500 Fax: 770-942-8800 | |
Dr. India C. Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Permian Way, Suite A, Villa Rica, GA 30180 Phone: 678-840-4034 Fax: 678-840-4035 | |
Dr. Merna Michelle Vera, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 403 Permian Way, Suite A, Villa Rica, GA 30180 Phone: 770-771-5235 Fax: 770-771-5236 |