Dr Michell Lopez Luciano, MD | |
1199 Prince Ave, Athens, GA 30606-2797 | |
(706) 475-5076 | |
Not Available |
Full Name | Dr Michell Lopez Luciano |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 11 Years |
Location | 1199 Prince Ave, Athens, 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 |
---|---|---|---|
1962923003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 85050 (Georgia) | Primary |
208M00000X | Hospitalist | 85050 (Georgia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Home Health | Athens, GA | Home health agency |
Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Athens Hospitalist Physicians Llc | 6305196411 | 109 |
Entity Name | Piedmont Athens Primary Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245746783 PECOS PAC ID: 0648520841 Enrollment ID: O20180910002202 |
Entity Name | Piedmont Athens Hospitalist Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578079000 PECOS PAC ID: 6305196411 Enrollment ID: O20180911003967 |
Mailing Address | Practice Location Address |
---|---|
Dr Michell Lopez Luciano, MD 4422 3rd Ave, Bronx, NY 10457-2545 Ph: (718) 960-9000 | Dr Michell Lopez Luciano, MD 1199 Prince Ave, Athens, GA 30606-2797 Ph: (706) 475-5076 |
Bannur Ramanna Nandeesh, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-5076 | |
Krupal Jay Hari, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 242 King Avenue, Suite 210, Athens, GA 30606 Phone: 706-475-1700 Fax: 706-475-1790 | |
Mr. Ashwin Thatti, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1500 Oglethorpe Ave Ste 500c, Athens, GA 30606 Phone: 706-546-7484 | |
Dr. Stephen William Wilde, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 Sunset Dr, Suite 501, Athens, GA 30606 Phone: 706-208-0065 Fax: 706-459-8693 | |
Dr. James S Miller, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-1700 Fax: 706-546-1787 | |
Dr. Paul Peteet, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 55 Carlton St, Athens, GA 30602 Phone: 706-542-8621 Fax: 706-583-0217 | |
Diana T Blake, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2470 Daniells Bridge Rd Ste 231, Athens, GA 30606 Phone: 706-769-3362 Fax: 706-769-5675 |