Dr Thomas W Mccormack Jr, MD | |
1361 Jennings Mill Road, Building 200 Suite 201, Bogart, GA 30622 | |
(706) 316-1908 | |
(706) 316-2062 |
Full Name | Dr Thomas W Mccormack Jr |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 28 Years |
Location | 1361 Jennings Mill Road, Bogart, 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 |
---|---|---|---|
1740298728 | NPI | - | NPPES |
00958625A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | GA051255 (Georgia) | Primary |
Facility Name | Location | Facility Type |
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Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
Entity Name | Athens Behavioral Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902026347 PECOS PAC ID: 5294756326 Enrollment ID: O20051216000028 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas W Mccormack Jr, MD 1361 Jennings Mill Road, Building 200 Suite 201, Bogart, GA 30622 Ph: (706) 316-1908 | Dr Thomas W Mccormack Jr, MD 1361 Jennings Mill Road, Building 200 Suite 201, Bogart, GA 30622 Ph: (706) 316-1908 |
Mr. Edward J Fisher Jr., MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1361 Jennings Mill Road, Building 200 Suite 201, Bogart, GA 30622 Phone: 706-316-1908 Fax: 706-316-2062 | |
Dr. Kayln Tiffany Lane, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1361 Jennings Mill Rd Ste 201, Bogart, GA 30622 Phone: 706-316-1908 Fax: 706-316-2062 |