Polly A Henderson, MD | |
3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096-4506 | |
(215) 762-3937 | |
(215) 762-5600 |
Full Name | Polly A Henderson |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 24 Years |
Location | 3650 Steve Reynolds Blvd, Duluth, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568404416 | NPI | - | NPPES |
101262870 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | MD425936 (Pennsylvania) | Secondary |
207W00000X | Ophthalmology | 068190 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Southeast Permanente Medical Group | 6204829013 | 660 |
Entity Name | The Southeast Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
---|---|
Polly A Henderson, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 364-7070 | Polly A Henderson, MD 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096-4506 Ph: (215) 762-3937 |
Dr. Monica Y. Allen, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 3650 Steve Reynolds Blvd., Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 Phone: 313-577-8900 | |
Dr. William A Segal, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3800 Pleasant Hill Rd, Suite 3, Duluth, GA 30096 Phone: 678-584-0400 Fax: 678-584-0568 | |
Dr. Junhee Lee, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2070 Pleasant Hill Rd # 100, Duluth, GA 30096 Phone: 770-662-2020 Fax: 470-545-2261 | |
Dr. Stephen C Ume, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 3840 Peachtree Industrial Blvd Ste 100, Duluth, GA 30096 Phone: 678-585-1901 Fax: 678-691-2138 | |
Dr. Ann O. Igbre, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 Phone: 410-337-4500 Fax: 410-339-7326 | |
Dr. Pooja Mally, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 10080 Medlock Bridge Rd, Duluth, GA 30097 Phone: 404-953-4023 |