Mark P Visitacion, MD | |
1500 Oglethorpe Ave Ste 200d, Athens, GA 30606-2165 | |
(706) 559-4405 | |
(706) 559-4773 |
Full Name | Mark P Visitacion |
---|---|
Gender | Male |
Speciality | Infectious Disease |
Experience | 21 Years |
Location | 1500 Oglethorpe Ave Ste 200d, Athens, 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 |
---|---|---|---|
1912194960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 65514 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Of Covington | Covington, GA | Home health agency |
St Mary's Home Health Services | Watkinsville, GA | Home health agency |
St Mary's Hospital | Athens, GA | Hospital |
Ty Cobb Regional Medical Center, Llc | Lavonia, GA | Hospital |
Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
St. Mary's Good Samaritan Hospital | Greensboro, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St. Mary's Medical Group, Inc. | 7113098393 | 106 |
Entity Name | St. Mary's Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376711333 PECOS PAC ID: 7113098393 Enrollment ID: O20080616000388 |
Mailing Address | Practice Location Address |
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Mark P Visitacion, MD Po Box 48089, Athens, GA 30604-8089 Ph: (706) 389-3740 | Mark P Visitacion, MD 1500 Oglethorpe Ave Ste 200d, Athens, GA 30606-2165 Ph: (706) 559-4405 |
Bannur Ramanna Nandeesh, Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-5076 | |
Krupal Jay Hari, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 242 King Avenue, Suite 210, Athens, GA 30606 Phone: 706-475-1700 Fax: 706-475-1790 | |
Mr. Ashwin Thatti, Infectious Disease Medicare: Medicare Enrolled Practice Location: 1500 Oglethorpe Ave Ste 500c, Athens, GA 30606 Phone: 706-546-7484 | |
Dr. Stephen William Wilde, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 700 Sunset Dr, Suite 501, Athens, GA 30606 Phone: 706-208-0065 Fax: 706-459-8693 | |
Dr. James S Miller, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-1700 Fax: 706-546-1787 | |
Dr. Paul Peteet, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 55 Carlton St, Athens, GA 30602 Phone: 706-542-8621 Fax: 706-583-0217 | |
Diana T Blake, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2470 Daniells Bridge Rd Ste 231, Athens, GA 30606 Phone: 706-769-3362 Fax: 706-769-5675 |