Katherine Bernadette Santosa, MD | |
875 Johnson Fy Rd Ne, Atlanta, GA 30342-1418 | |
(048) 354-1914 | |
Not Available |
Full Name | Katherine Bernadette Santosa |
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Gender | Female |
Speciality | Surgery - Plastic And Reconstructive Surgery |
Location | 875 Johnson Fy Rd Ne, 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 |
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1437410511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2086S0122X | Surgery - Plastic And Reconstructive Surgery | 87537 (Georgia) | Primary |
Entity Name | Metroderm, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205833894 PECOS PAC ID: 8729076443 Enrollment ID: O20040503000850 |
Entity Name | Northside Surgical Professional Services Llc |
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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 |
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Katherine Bernadette Santosa, MD 875 Johnson Fy Rd Ne, Atlanta, GA 30342-1418 Ph: () - | Katherine Bernadette Santosa, MD 875 Johnson Fy Rd Ne, Atlanta, GA 30342-1418 Ph: (048) 354-1914 |
Dr. Dominic Joseph Papandria, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne, Atlanta, GA 30308 Phone: 404-686-4411 | |
Dr. Constance Scott Harrell Shreckengost, MD, PHD Surgery Medicare: Medicare Enrolled Practice Location: 1364 Clifton Rd Ne Rm B206, Atlanta, GA 30322 Phone: 404-727-5800 | |
John Sweeney, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1365a Clifton Rd Ne, Suite 3300, Atlanta, GA 30322 Phone: 404-778-3712 Fax: 404-778-5033 | |
Marlieke E Nussenbaum, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 1015 Boulevard Se Apt 629, Atlanta, GA 30312 Phone: 919-360-5327 | |
Samantha Courtney Thomas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 69 Jesse Hill Jr Drive, Glenn Memorial Building, 3rd Floor, Atlanta, GA 30303 Phone: 404-251-8915 Fax: 404-523-3931 | |
Vanessa Arientyl, MD Surgery Medicare: Medicare Enrolled Practice Location: 69 Jesse Hill Jr. Drive Southeast, Glenn Memorial Building, 3rd Floor, Atlanta, GA 30303 Phone: 404-251-8915 Fax: 404-523-3931 | |
Mr. Barrie Douglas Lowman, P.A. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5669 Peachtree Dunwoody Rd Ne, Suite 100, Atlanta, GA 30342 Phone: 404-256-0404 Fax: 404-847-0423 |