Peter Frandsen Vandyck, MD | |
3320 Old Jefferson Rd, Building 600, Athens, GA 30607-1400 | |
(706) 549-4155 | |
(706) 546-0036 |
Full Name | Peter Frandsen Vandyck |
---|---|
Gender | Male |
Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 3320 Old Jefferson Rd, Athens, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669537197 | NPI | - | NPPES |
00384997B | Medicaid | GA | |
52022022 | Other | GA | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 27679 (Georgia) | Primary |
Entity Name | Caap Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962052167 PECOS PAC ID: 7618209131 Enrollment ID: O20200109000696 |
Mailing Address | Practice Location Address |
---|---|
Peter Frandsen Vandyck, MD 3320 Old Jefferson Rd Ste 300a, Athens, GA 30607-1442 Ph: (706) 549-4155 | Peter Frandsen Vandyck, MD 3320 Old Jefferson Rd, Building 600, Athens, GA 30607-1400 Ph: (706) 549-4155 |
Bannur Ramanna Nandeesh, Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-5076 | |
Krupal Jay Hari, M.D. Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 242 King Avenue, Suite 210, Athens, GA 30606 Phone: 706-475-1700 Fax: 706-475-1790 | |
Mr. Ashwin Thatti, Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 1500 Oglethorpe Ave Ste 500c, Athens, GA 30606 Phone: 706-546-7484 | |
Dr. Stephen William Wilde, M.D. Endocrinology, Diabetes & Metabolism 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 Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-1700 Fax: 706-546-1787 | |
Dr. Paul Peteet, MD Endocrinology, Diabetes & Metabolism 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 Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2470 Daniells Bridge Rd Ste 231, Athens, GA 30606 Phone: 706-769-3362 Fax: 706-769-5675 |