Mrs Shena Ogletree, | |
1244 Park Vista Dr Ne, Brookhaven, GA 30319-5372 | |
(404) 215-6000 | |
(404) 848-7965 |
Full Name | Mrs Shena Ogletree |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1244 Park Vista Dr Ne, Brookhaven, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457821373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | RN208455 (Georgia) | Primary |
Entity Name | Pruitthealth Physicians Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043676299 PECOS PAC ID: 8123327061 Enrollment ID: O20160428000256 |
Entity Name | Georgia Palliative Care Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295290450 PECOS PAC ID: 9537492137 Enrollment ID: O20190613002834 |
Entity Name | Pruitthealth Hospice Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013955749 PECOS PAC ID: 2264344217 Enrollment ID: O20190702003113 |
Mailing Address | Practice Location Address |
---|---|
Mrs Shena Ogletree, 30 Carlisle Ct, Covington, GA 30016-7437 Ph: (404) 764-0562 | Mrs Shena Ogletree, 1244 Park Vista Dr Ne, Brookhaven, GA 30319-5372 Ph: (404) 215-6000 |
Keerthi Yarlagadda, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4062 Peachtree Rd Ne Ste C, Brookhaven, GA 30319 Phone: 404-365-6500 Fax: 404-365-6501 | |
Mrs. Mary Margaret Burch, FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1401 Dresden Dr Ne Ste 200, Brookhaven, GA 30319 Phone: 404-814-9808 | |
Vindhya Rao, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 705 Town Boulevard, Suite 590, Brookhaven, GA 30319 Phone: 404-251-1940 | |
Dr. Jeffrey M. Reznik, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4062 Peachtree Rd Ne Ste C, Brookhaven, GA 30319 Phone: 404-365-6500 Fax: 404-365-6501 | |
Ms. Casey Jane Henritz, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Town Blvd Ne, Suite 590, Brookhaven, GA 30319 Phone: 404-855-2236 Fax: 404-793-6517 | |
Young Il Chung, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3925 Peachtree Rd Ne Ste 300, Brookhaven, GA 30319 Phone: 404-231-4231 |