Thelma E Wiley-lucas, MD | |
157 Clinic Ave Ste 201, Carrollton, GA 30117-4454 | |
(770) 214-2800 | |
(770) 214-2803 |
Full Name | Thelma E Wiley-lucas |
---|---|
Gender | Female |
Speciality | Gastroenterology |
Experience | 35 Years |
Location | 157 Clinic Ave Ste 201, Carrollton, 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 |
---|---|---|---|
1366478653 | NPI | - | NPPES |
179173719A | Medicaid | GA | |
P00384988 | Other | GA | RAIL ROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 058487 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Georgia Gastroenterology Associates,pc | 5890783104 | 12 |
Entity Name | West Georgia Gastroenterology Associates,pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962594168 PECOS PAC ID: 5890783104 Enrollment ID: O20040505000392 |
Mailing Address | Practice Location Address |
---|---|
Thelma E Wiley-lucas, MD 157 Clinic Ave Ste 201, Carrollton, GA 30117-4454 Ph: (770) 214-2800 | Thelma E Wiley-lucas, MD 157 Clinic Ave Ste 201, Carrollton, GA 30117-4454 Ph: (770) 214-2800 |
Dr. Michael S. Vavrik, M.D. Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 410 Dixie St, Carrollton, GA 30117 Phone: 678-796-0681 Fax: 770-836-8477 | |
Christopher B Arant, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 705 Dixie St, Suite 401, Carrollton, GA 30117 Phone: 770-836-9326 | |
Dr. John M Stimac, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 150 Clinic Avenue, Suite 203, Carrollton, GA 30117 Phone: 770-834-0613 Fax: 770-836-5283 | |
Dr. Laura Lamb Larson, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 100 Professional Pl, Suite 301, Carrollton, GA 30117 Phone: 770-812-5837 Fax: 770-812-5838 | |
Nalini Narayan, MD Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 705 Dixie St, Carrollton, GA 30117 Phone: 770-838-8929 Fax: 770-838-8930 | |
Dr. Bradley J. G. Larson, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 157 Clinic Ave, Ste 101, Carrollton, GA 30117 Phone: 770-333-2220 Fax: 678-581-7180 | |
Anota Akofu, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 905 Dixie St, Carrollton, GA 30117 Phone: 678-796-0681 Fax: 770-836-8477 |