Dr Lisa Dawn Mandeville, MD | |
315 Winn Way, Decatur, GA 30030-2111 | |
(404) 299-9724 | |
(404) 299-0382 |
Full Name | Dr Lisa Dawn Mandeville |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 29 Years |
Location | 315 Winn Way, Decatur, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821020041 | NPI | - | NPPES |
2264676 | Other | GA | AETNA/ USHC |
CN9240 | Other | GA | GROUP RAILROAD MEDICARE |
0700039 | Other | GA | UNITED HEALTHCARE |
000832851E | Medicaid | GA | |
160046634 | Other | GA | RAILROAD MEDICARE |
598968 | Other | GA | BLUE CROSS BLUE SHIELD |
7695077 | Other | GA | AETNA/US HEALTHCARE |
000832851D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 046987 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Atlanta Gynecology And Obstetrics P.c. | 5597748830 | 7 |
Entity Name | Atlanta Gynecology & Obstetrics P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194962100 PECOS PAC ID: 5597748830 Enrollment ID: O20090812000559 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa Dawn Mandeville, MD 315 Winn Way, Decatur, GA 30030-2111 Ph: (404) 299-9724 | Dr Lisa Dawn Mandeville, MD 315 Winn Way, Decatur, GA 30030-2111 Ph: (404) 299-9724 |
Dr. Eleanor M. Ho, MD, MPH Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2665 N Decatur Rd, Suite 750, Decatur, GA 30033 Phone: 770-279-3838 | |
Dr. Mercy Ingrid Amua-quarshie, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1458 Church St Ste B, Decatur, GA 30030 Phone: 404-508-2000 Fax: 404-508-5560 | |
Dr. Genesis Bowen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2801 N Decatur Rd, Suite 190, Decatur, GA 30033 Phone: 404-299-9307 | |
Dr. Kathleen S Johnson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1458 Church St Ste B, Decatur, GA 30030 Phone: 404-501-6027 Fax: 404-377-0550 | |
Dr. Noah E Wills Iii, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4166 Snapfinger Woods Dr, Decatur, GA 30035 Phone: 404-284-3200 Fax: 404-288-1745 | |
Gopika Radha Krishna, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2665 N Decatur Rd, Decatur, GA 30033 Phone: 914-886-2746 | |
Dr. John Leroy Carter Jr., M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2801 N Decatur Rd, Suite 190, Decatur, GA 30033 Phone: 404-299-9307 Fax: 404-299-9309 |