Priscilla Ruth Strom, MD | |
725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | |
(770) 536-2323 | |
(770) 536-4947 |
Full Name | Priscilla Ruth Strom |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 48 Years |
Location | 725 Jesse Jewell Pkwy Se, Gainesville, 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 |
---|---|---|---|
1861495491 | NPI | - | NPPES |
52476028 | Other | GA | BCBS |
000221955J | Medicaid | GA | |
343257 | Other | GA | WELLCARE |
1415794 | Other | GA | CIGNA |
000221955H | Medicaid | GA | |
01050059 | Other | GA | AMERIGROUP |
P00434214 | Other | GA | MEDICARE RAILROAD |
000221955H | Other | GA | PEACH STATE |
1177000 | Other | GA | UHC |
5151005 | Other | GA | AETNA |
572604 | Other | GA | COVENTRY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 021053 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Longstreet Clinic, Pc | 2668465733 | 145 |
Entity Name | The Longstreet Clinic, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521 |
Mailing Address | Practice Location Address |
---|---|
Priscilla Ruth Strom, MD Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122 | Priscilla Ruth Strom, MD 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 Ph: (770) 536-2323 |
Dr. Thomas Gregory Delong, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1387 Springdale Rd, Gainesville, GA 30501 Phone: 770-534-0984 | |
Courtney L Grant, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 678-207-4000 Fax: 770-531-2435 | |
Phillip Patrick Rideout, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 360, Gainesville, GA 30501 Phone: 770-219-4000 | |
Alexis Deana Smith, MD Surgery Medicare: Medicare Enrolled Practice Location: 1439 Jesse Jewell Pkwy Ne Ste 301, Gainesville, GA 30501 Phone: 770-219-9234 | |
Derek Paul Pendarvis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-536-2323 Fax: 770-536-4947 | |
Julius Timothy Fulenwider, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1075 Jesse Jewell Pkwy Ne, Ste B, Gainesville, GA 30501 Phone: 770-536-5733 Fax: 770-534-2114 | |
James A. Butts Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-536-2323 Fax: 770-536-4947 |