Dr Mark Andrew Supan, MD | |
220 J L White Dr, Suite 120, Jasper, GA 30143-4893 | |
(706) 635-3539 | |
Not Available |
Full Name | Dr Mark Andrew Supan |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 18 Years |
Location | 220 J L White Dr, Jasper, 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 |
---|---|---|---|
1972701936 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 065503 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Emory Clinic, Inc | 8820901408 | 2729 |
Entity Name | The Emory Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Andrew Supan, MD 220 J L White Dr, Suite 120, Jasper, GA 30143-4893 Ph: (706) 692-3539 | Dr Mark Andrew Supan, MD 220 J L White Dr, Suite 120, Jasper, GA 30143-4893 Ph: (706) 635-3539 |
Mr. Michael Edward Lynch Sr., MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 J L White Dr Ste 120, Jasper, GA 30143 Phone: 706-692-3539 | |
Dr. Erinne Graham, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 220 J L White Dr Ste 120, Jasper, GA 30143 Phone: 706-692-3539 | |
Dr. John Farr, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 220 J L White Dr Ste 120, Jasper, GA 30143 Phone: 706-692-3539 | |
George Bradford Cabe, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 J L White Dr Ste 120, Jasper, GA 30143 Phone: 706-692-3539 | |
Dr. Vincent G Molinari, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 220 J L White Dr, Suite 120, Jasper, GA 30143 Phone: 706-692-3539 Fax: 706-692-9364 | |
Keyasha Beaty Robbs, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 J L White Dr Ste 120, Jasper, GA 30143 Phone: 706-692-3539 | |
Jeffrey L Frye, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 J L White Dr Ste 120, Jasper, GA 30143 Phone: 706-692-3539 |