Dr William F Allen Iii, MD | |
20 Glenlake Pkwy, Glenlake -dept Of Urology, Atlanta, GA 30328-3473 | |
(404) 365-0966 | |
(404) 352-9187 |
Full Name | Dr William F Allen Iii |
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Gender | Male |
Speciality | Urology |
Location | 20 Glenlake Pkwy, Atlanta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720030067 | NPI | - | NPPES |
55002297A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 0245296 (Georgia) | Secondary |
208800000X | Urology | 024529 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
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Dr William F Allen Iii, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 364-7070 | Dr William F Allen Iii, MD 20 Glenlake Pkwy, Glenlake -dept Of Urology, Atlanta, GA 30328-3473 Ph: (404) 365-0966 |
Valentina Grajales, MD Urology Medicare: Medicare Enrolled Practice Location: 5671 Peachtree Dunwoody Rd Ste 500, Atlanta, GA 30342 Phone: 404-728-4211 | |
Edwin A Smith, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5445 Meridian Marks Rd Ne, Suite 420, Atlanta, GA 30342 Phone: 404-252-5206 Fax: 404-252-1268 | |
Richard N Stephens, MD Urology Medicare: Medicare Enrolled Practice Location: 20 Glenlake Parkway, Department Of Urology, Atlanta, GA 30328 Phone: 770-677-6257 Fax: 770-677-7344 | |
Dr. Christopher Gatlin Keith, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 275 Collier Rd Nw Ste 400, Atlanta, GA 30309 Phone: 404-605-4848 | |
Andrew Pridjian, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5673 Peachtree Dunwoody Rd Ste 910, Atlanta, GA 30342 Phone: 404-255-3822 Fax: 404-255-0495 | |
Dr. William Holt Sanders, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 980 Johnson Ferry Rd Ne, Ste 490, Atlanta, GA 30342 Phone: 404-257-0133 Fax: 404-207-1337 | |
Bruce G Green, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5673 Peachtree Dunwoody Rd Ne, Ste 910, Atlanta, GA 30342 Phone: 404-255-3822 Fax: 404-255-0495 |