Raymon Joel Wilensky, MD | |
750 Town Park Lane, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 | |
(770) 931-6020 | |
(404) 252-8769 |
Full Name | Raymon Joel Wilensky |
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Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 750 Town Park Lane, Kennesaw, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023169208 | NPI | - | NPPES |
000144185B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 18773 (Georgia) | Primary |
Entity Name | The Southeast Permanente Medical Group |
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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 |
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Raymon Joel Wilensky, MD 3495 Piedmont Road, Ne, Nine Piedmont Center, Atlanta, GA 30305 Ph: (404) 364-7070 | Raymon Joel Wilensky, MD 750 Town Park Lane, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 Ph: (770) 931-6020 |
Candace Giles Ervin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 Ridenour Blvd Nw Ste 108, Kennesaw, GA 30152 Phone: 470-398-1771 Fax: 470-617-7350 | |
Carol Madison Glover, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 750 Townpark Ln Nw, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 Phone: 404-365-0966 Fax: 770-422-2049 | |
Salman Baseer, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1401 Trees Of Kennesaw Parkway, Kennesaw, GA 30152 Phone: 770-794-8583 | |
Dr. Nisha Chande, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 585 Cobb Ave Nw, Kennesaw Hall Building 1; Room 2401; Md 0117, Kennesaw, GA 30144 Phone: 470-578-6600 Fax: 470-578-9102 | |
Judith M Rochon, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 750 Townpark Ln Nw, Department Of Behavioral Health, Kennesaw, GA 30144 Phone: 770-514-5440 Fax: 770-514-5526 | |
Dr. Yolanda Patrice Graham, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1291 Stanley Rd Nw, Kennesaw, GA 30152 Phone: 770-427-0147 Fax: 770-427-7882 |