Kaney Jervelle Fedovskiy, MD | |
80 Jesse Hill Jr Dr Se, #26024, Atlanta, GA 30303-3031 | |
(404) 616-6689 | |
(404) 616-0207 |
Full Name | Kaney Jervelle Fedovskiy |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 80 Jesse Hill Jr Dr Se, 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 |
---|---|---|---|
1114091469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 054710 (Georgia) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | A97005 (California) | Secondary |
Entity Name | Telecare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720164882 PECOS PAC ID: 6901820380 Enrollment ID: O20070614000167 |
Entity Name | Healthright 360 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760427843 PECOS PAC ID: 3678674025 Enrollment ID: O20070730000160 |
Mailing Address | Practice Location Address |
---|---|
Kaney Jervelle Fedovskiy, MD 170 Boulevard Se, Apt #e122, Atlanta, GA 30312-2325 Ph: (404) 441-0477 | Kaney Jervelle Fedovskiy, MD 80 Jesse Hill Jr Dr Se, #26024, Atlanta, GA 30303-3031 Ph: (404) 616-6689 |
Dr. Marc A. Safran, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1600 Clifton Rd Ne, To: Capt Marc Safran, Us Public Health Service, Cdc, Atlanta, GA 30329 Phone: 404-639-3311 | |
Dr. Allison Nitsche, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 7000 Peachtree Dunwoody Rd Ste 100, Atlanta, GA 30328 Phone: 770-393-1880 | |
Erica Rene Wilt, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1968 Peachtree Rd Nw, Atlanta, GA 30309 Phone: 470-788-1010 | |
Dr. Shamina Jaffer Henkel, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Childrens Healthcare Of Atlanta, 1405 Clifton Road, Ne, Atlanta, GA 30322 Phone: 404-785-6244 Fax: 404-785-6268 | |
Deborah Ida Botti, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3400 Peachtree Rd, Suite 915, Atlanta, GA 30326 Phone: 404-812-0011 | |
Dr. Jeffrey Lee Winston, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4546 Barclay Dr Ste B, Atlanta, GA 30338 Phone: 770-457-7994 Fax: 770-458-8656 | |
Dr. Alan Marc Weinberg, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 20 Glenlake Pkwy, Dept Of Behavioral Health, Atlanta, GA 30328 Phone: 404-365-0966 Fax: 770-389-3030 |