Heather Marie Goodwin Mancebo, | |
2130 W Spring Street, Suite 300, Monroe, GA 30655 | |
(678) 905-9121 | |
Not Available |
Full Name | Heather Marie Goodwin Mancebo |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 15 Years |
Location | 2130 W Spring Street, Suite 300, Monroe, 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 |
---|---|---|---|
1689802068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 282980 (New York) | Secondary |
207Q00000X | Family Medicine | D0074885 (Maryland) | Secondary |
207Q00000X | Family Medicine | 96784 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peachtree Immediate Care Fp, Llc | 3274559323 | 251 |
Entity Name | Peachtree Immediate Care Fp, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
Mailing Address | Practice Location Address |
---|---|
Heather Marie Goodwin Mancebo, 296 Hamby Ln, Social Circle, GA 30025-4851 Ph: () - | Heather Marie Goodwin Mancebo, 2130 W Spring Street, Suite 300, Monroe, GA 30655 Ph: (678) 905-9121 |
Ms. Caitlin Ann Morris, NP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 521 Great Oaks Dr, Monroe, GA 30655 Phone: 770-267-7093 Fax: 770-267-7361 | |
Michelle Lynn Plaster, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1016 E Spring St, Monroe, GA 30655 Phone: 770-464-0280 Fax: 770-464-0233 | |
Dr. Jeffrey A Lamp, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1016 E Spring St, Monroe, GA 30655 Phone: 770-464-0280 Fax: 770-464-0233 | |
Rebecca Redding, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 704 Breedlove Dr Ste B, Monroe, GA 30655 Phone: 770-266-0935 Fax: 770-266-0931 | |
Sridevi Siruvella, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Breedlove Dr, Suite 800, Monroe, GA 30655 Phone: 770-266-0567 Fax: 770-266-0507 | |
Lenox Kyle Morris, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 521 Great Oaks Drive, Monroe, GA 30655 Phone: 770-267-7093 Fax: 770-267-7361 | |
Dr. William Donovan Delp, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1016 E Spring St, Monroe, GA 30655 Phone: 770-464-0280 Fax: 770-464-0233 |