Dr Mark Alan Chastain, MD | |
835 Cogburn Ave Nw, Suite 100, Marietta, GA 30060-1031 | |
(770) 422-5557 | |
(770) 422-5456 |
Full Name | Dr Mark Alan Chastain |
---|---|
Gender | Male |
Speciality | Micrographic Dermatologic Surgery (mds) |
Experience | 28 Years |
Location | 835 Cogburn Ave Nw, Marietta, 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 |
---|---|---|---|
1790756138 | NPI | - | NPPES |
339883816A | Medicaid | GA | |
P00086676 | Other | GA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | 048995 (Georgia) | Secondary |
207N00000X | Dermatology | 048995 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cartersville Medical Center | Cartersville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Skin Cancer Specialists P C | 6800885757 | 41 |
Entity Name | Emory Medical Care Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
Entity Name | Skin Cancer Specialists P C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114022167 PECOS PAC ID: 6800885757 Enrollment ID: O20040507000201 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Alan Chastain, MD 835 Cogburn Ave Nw, Suite 100, Marietta, GA 30060-1031 Ph: (770) 422-5557 | Dr Mark Alan Chastain, MD 835 Cogburn Ave Nw, Suite 100, Marietta, GA 30060-1031 Ph: (770) 422-5557 |
Jordan Thompson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 835 Cogburn Avenue, Suite 100, Marietta, GA 30060 Phone: 770-422-5557 Fax: 770-422-5456 | |
Ms. Onaopemipo Olayide Ofodile, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068 Phone: 770-971-3376 | |
Jennifer L Jones, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 835 Cogburn Avenue, Suite 100, Marietta, GA 30060 Phone: 770-422-5557 Fax: 770-422-5458 | |
Clem Melton Doxey Jr., M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 111 Marble Mill Rd Nw, Marietta, GA 30060 Phone: 770-422-1013 Fax: 770-514-5996 | |
Dr. Alan M Gardner, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2550 Windy Hill Rd Se, Suite 220, Marietta, GA 30067 Phone: 770-952-2100 Fax: 770-850-9712 | |
Dr. Matthew Preston Hughes, M.D Dermatology Medicare: Accepting Medicare Assignments Practice Location: 835 Cogburn Ave Nw, Suite 250, Marietta, GA 30060 Phone: 770-422-8815 Fax: 770-422-8816 | |
Dr. Jennifer Louise Buckley, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 835 Cogburn Ave Nw, Suite 100, Marietta, GA 30060 Phone: 770-422-5557 Fax: 770-422-5456 |