Dr William Angelo Primos Jr, MD | |
108 Prominence Ct Ste 200, Dawsonville, GA 30534-6340 | |
(770) 848-6190 | |
Not Available |
Full Name | Dr William Angelo Primos Jr |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 39 Years |
Location | 108 Prominence Ct Ste 200, Dawsonville, 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 |
---|---|---|---|
1528040458 | NPI | - | NPPES |
N39665 | Medicaid | SC | |
813658737A | Medicaid | GA | |
8969208 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080S0010X | Pediatrics - Sports Medicine | 39336 (North Carolina) | Secondary |
2080S0010X | Pediatrics - Sports Medicine | 42395 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeast Georgia Physicians Group Inc | 6901898386 | 651 |
Entity Name | Northeast Georgia Physicians Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
Mailing Address | Practice Location Address |
---|---|
Dr William Angelo Primos Jr, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Dr William Angelo Primos Jr, MD 108 Prominence Ct Ste 200, Dawsonville, GA 30534-6340 Ph: (770) 848-6190 |
Renee Latrese Waters, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3651 Dawson Forest Rd E, Suite 100, Dawsonville, GA 30534 Phone: 706-216-7337 Fax: 770-783-8899 | |
Dr. George Joseph Petro Jr., M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 108 Prominence Ct Ste 200, Dawsonville, GA 30534 Phone: 706-344-6950 | |
Dr. Honorio R Bulos, M.D.,F.A.A.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Dawson Commons Cir, Ste 320, Dawsonville, GA 30534 Phone: 706-216-2770 Fax: 706-216-2944 | |
Allina Concepcion Espinosa, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Dawson Commons Cir Ste 320, Dawsonville, GA 30534 Phone: 706-216-2771 Fax: 706-216-2944 | |
Dr. Carmina F Babao, M.D.,F.A.A.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Dawson Commons Cir, Ste. 320, Dawsonville, GA 30534 Phone: 706-216-2770 Fax: 706-216-2944 | |
Ronald Magat, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 300 Dawson Commons Cir, Suite 320, Dawsonville, GA 30534 Phone: 706-216-2771 Fax: 706-216-2944 |