Jaeson K Courseault, | |
3939 Lavista Rd, Ste. E274, Atlanta, GA 30345 | |
(404) 500-7224 | |
Not Available |
Full Name | Jaeson K Courseault |
---|---|
Gender | Male |
Speciality | Family Medicine - Sports Medicine |
Location | 3939 Lavista Rd, 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 |
---|---|---|---|
1609137140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | Q5992 (Texas) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | 86941 (Georgia) | Primary |
Entity Name | Hillcrest Physician Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649294323 PECOS PAC ID: 1153304456 Enrollment ID: O20040609000104 |
Mailing Address | Practice Location Address |
---|---|
Jaeson K Courseault, 2994 E Ramble Ln, Decatur, GA 30033-1120 Ph: (404) 500-7224 | Jaeson K Courseault, 3939 Lavista Rd, Ste. E274, Atlanta, GA 30345 Ph: (404) 500-7224 |
Fidelia O Osinubi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3885 Princeton Lakes Way, Suite 402, Atlanta, GA 30331 Phone: 404-349-0496 Fax: 404-349-6081 | |
Theresa R Jacobs, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 868 York Ave Sw, Atlanta, GA 30310 Phone: 404-752-1400 Fax: 404-758-0740 | |
David M Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1046 Ridge Ave Sw, Atlanta, GA 30315 Phone: 404-688-1350 Fax: 404-564-6734 | |
Dr. Bhavi Patel Purohit, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 Westview Dr Sw, Atlanta, GA 30310 Phone: 404-756-1230 Fax: 404-752-8682 | |
Dr. Edmond Shih, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5461 Buford Hwy Ne, Atlanta, GA 30340 Phone: 770-457-5556 Fax: 770-457-7776 | |
Zahidul Islam Chowdhury, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 N Highland Ave Ne, Suite F, Atlanta, GA 30307 Phone: 404-658-9840 Fax: 404-658-9846 | |
Marissa Benn Lapedis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 W Peachtree St Nw Ste 200a, Atlanta, GA 30309 Phone: 404-575-2000 Fax: 404-575-2001 |