Loc B Pham, MD | |
677 Church St Ne, Marietta, GA 30060-1101 | |
(770) 794-0477 | |
(770) 794-3108 |
Full Name | Loc B Pham |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 28 Years |
Location | 677 Church St Ne, Marietta, Georgia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548248685 | NPI | - | NPPES |
050074254 | Other | TN | MCRR |
3851898 | Medicaid | TN | |
100030563 | Other | TN | PHP TENNCARE |
3146471 | Other | TN | BLUECARE |
3146471 | Other | TN | BLUECROSS |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Douglas Hospital | Douglasville, GA | Hospital |
Wellstar North Fulton Hospital | Roswell, GA | Hospital |
Piedmont Newnan Hospital, Inc | Newnan, GA | Hospital |
Wellstar Cobb Hospital | Austell, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Anesthesia Associates Llc | 3577457183 | 257 |
Mak Anesthesia Holdings, Llc | 4284917204 | 170 |
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Piedmont Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407856594 PECOS PAC ID: 3577457183 Enrollment ID: O20040212000604 |
Entity Name | Georgia Anesthesiologists, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740299197 PECOS PAC ID: 7315835063 Enrollment ID: O20040305000398 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Entity Name | Mak Anesthesia Holdings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
Entity Name | Mak Anesthesia Northside Affiliates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
Mailing Address | Practice Location Address |
---|---|
Loc B Pham, MD 531 Roselane St Nw Ste 830, Marietta, GA 30060-6979 Ph: (770) 794-0477 | Loc B Pham, MD 677 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 794-0477 |
Donald R Taylor, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 840 Church Street, Suite B, Marietta, GA 30060 Phone: 770-421-8080 Fax: 770-421-9566 | |
Ashkan Yazdanpanah, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 | |
Thomas M Adair, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 | |
Dr. William Shearin Jr., M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4048 Penhurst Dr, Marietta, GA 30062 Phone: 770-579-3650 | |
Alson Mercurius, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 | |
John G Porter, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 790 Church St Ne, Suite 550, Marietta, GA 30060 Phone: 770-419-9902 Fax: 770-419-7457 | |
James E. Warren, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 780 Canton Road, Suite 100, Marietta, GA 30060 Phone: 678-574-0943 Fax: 678-574-0943 |