Jeffrey Edward Sootin, MD | |
1800 Tree Lane Rd, Suite 330, Snellville, GA 30078-4700 | |
(770) 978-0561 | |
(770) 978-0546 |
Full Name | Jeffrey Edward Sootin |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 30 Years |
Location | 1800 Tree Lane Rd, Snellville, 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 |
---|---|---|---|
1912909573 | NPI | - | NPPES |
020047989 | Other | GA | RAILROAD MEDICARE |
000880591C | Medicaid | GA | |
00880591A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 048942 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
Eastside Medical Center | Snellville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northside Surgical Professional Services Llc | 8628253424 | 272 |
Entity Name | Northside Surgical Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey Edward Sootin, MD 1800 Tree Lane Rd, Suite 330, Snellville, GA 30078-4700 Ph: (770) 978-0561 | Jeffrey Edward Sootin, MD 1800 Tree Lane Rd, Suite 330, Snellville, GA 30078-4700 Ph: (770) 978-0561 |
Andrew A. Kramer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Medical Way, Suite 220, Snellville, GA 30078 Phone: 770-972-7999 Fax: 770-972-9528 | |
Dr. Marshall Eli Lutske, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 | |
Gordon Bradley Werbel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Tree Lane Rd, Suite 330, Snellville, GA 30078 Phone: 770-978-0561 Fax: 770-978-0546 | |
Dr. Daniel William Maxwell, DO Surgery Medicare: Medicare Enrolled Practice Location: 1700 Tree Ln Ste 320, Snellville, GA 30078 Phone: 770-972-7999 | |
Jenna Corinne Coon Fussell, MD Surgery Medicare: Medicare Enrolled Practice Location: 1700 Tree Ln Ste 320, Snellville, GA 30078 Phone: 770-972-7999 | |
Hisa Yamaguchi, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Medical Way Ste 220, Snellville, GA 30078 Phone: 770-972-7999 Fax: 770-972-9528 | |
Dr. Raquel Camille Jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 |