Scott David Bader, MD | |
3550 Preston Ridge Rd, Dept Of Pediatrics, Alpharetta, GA 30005-3821 | |
(404) 365-0966 | |
(732) 564-0212 |
Full Name | Scott David Bader |
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Gender | Male |
Speciality | Pediatrics |
Location | 3550 Preston Ridge Rd, Alpharetta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346250362 | NPI | - | NPPES |
8780609 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MA69791 (New Jersey) | Secondary |
208000000X | Pediatrics | G5928 (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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Scott David Bader, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 364-7070 | Scott David Bader, MD 3550 Preston Ridge Rd, Dept Of Pediatrics, Alpharetta, GA 30005-3821 Ph: (404) 365-0966 |
Mrs. Sandra S Zehnder, CPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3005 Royal Blvd S, Suite 110, Alpharetta, GA 30022 Phone: 770-442-5437 Fax: 770-664-7836 | |
Gabraella Drake-forte, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3400-c Old Milton Pkwy, Ste 490, Alpharetta, GA 30005 Phone: 678-297-0070 Fax: 678-297-0073 | |
Reanne Parrenas Stephansson, M.D.F.A.A.P Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11975 Morris Road, Ste 210, Alpharetta, GA 30005 Phone: 770-664-0088 Fax: 770-664-8228 | |
Dr. Thomas John Steimer Ii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3550 Preston Ridge Rd, Pediatrics Health Care Team A, Alpharetta, GA 30005 Phone: 770-663-3303 Fax: 770-663-3200 | |
Mrs. Danelle Phelps Wilson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3180 North Point Pkwy, Suite 410, Alpharetta, GA 30005 Phone: 770-664-0088 Fax: 770-664-8228 | |
Dr. Larue D Penny Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3400 Old Milton Pkwy, Suite 330/bldg A, Alpharetta, GA 30005 Phone: 770-751-6111 | |
Nancy H Gallups, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2365 Old Milton Pkwy, Suite 200, Alpharetta, GA 30004 Phone: 770-753-0053 Fax: 770-753-0021 |