Ms Irene Ristic, MD | |
902 Athens Hwy, Loganville, GA 30052-4904 | |
(770) 554-5533 | |
(770) 554-8129 |
Full Name | Ms Irene Ristic |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 902 Athens Hwy, Loganville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649316464 | NPI | - | NPPES |
00572448B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 037660 (Georgia) | Primary |
Entity Name | Med Fast Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487849857 PECOS PAC ID: 9133118490 Enrollment ID: O20040511000870 |
Entity Name | S.y.a.h. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306823455 PECOS PAC ID: 4385655471 Enrollment ID: O20060607000055 |
Mailing Address | Practice Location Address |
---|---|
Ms Irene Ristic, MD 225 Mayfield Farms Dr, Lawrenceville, GA 30043-6161 Ph: (770) 271-2654 | Ms Irene Ristic, MD 902 Athens Hwy, Loganville, GA 30052-4904 Ph: (770) 554-5533 |
David Albert Fields, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 96 Tara Commons Dr, Loganville, GA 30052 Phone: 770-554-0399 Fax: 770-554-0058 | |
Mrs. Michelle Renee Crumbley, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 4398 Atlanta Hwy, Loganville, GA 30052 Phone: 404-948-3019 | |
Dr. Neil Kingsley Groff, MD. Family Medicine Medicare: Medicare Enrolled Practice Location: 115 Lee Byrd Rd, Loganville, GA 30052 Phone: 770-554-4717 Fax: 770-554-4681 | |
Tolulope Arowosegbe, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4398 Atlanta Hwy, Loganville, GA 30052 Phone: 404-948-3019 | |
Karene Gaile Boone, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3435 Highway 81 Ste 100, Loganville, GA 30052 Phone: 678-376-9309 | |
Bhavani Merugu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4593 Lawrenceville Rd, Loganville, GA 30052 Phone: 770-466-8672 | |
Sanjeev S Tendolkar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4589 Lawrenceville Rd, Loganville, GA 30052 Phone: 770-466-8672 Fax: 770-466-2082 |