| Alcovy Neurology | |
|
3535 Highway 81 Loganville GA 30052-4336 | |
| (678) 905-9625 | |
| (770) 674-5880 |
| Full Name | Alcovy Neurology |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3535 Highway 81, Loganville, Georgia |
| Authorized Official Name and Position | Juan Carlos Lacayo (NEUROLOGIST) |
| Authorized Official Contact | 6789059625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alcovy Neurology 3535 Highway 81 Loganville GA 30052-4336 Ph: (678) 905-9625 | Alcovy Neurology 3535 Highway 81 Loganville GA 30052-4336 Ph: (678) 905-9625 |
| NPI Number | 1225329667 |
|---|---|
| Provider Enumeration Date | 04/20/2011 |
| Last Update Date | 09/04/2020 |
| Certification Date | 09/04/2020 |
| Medicare PECOS PAC ID | 8224201231 |
|---|---|
| Medicare Enrollment ID | O20111107000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225329667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Juan Lacayo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245427178 PECOS PAC ID: 1951583301 Enrollment ID: I20111020000013 |
| Provider Name | Amy E Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295208668 PECOS PAC ID: 4880041748 Enrollment ID: I20231114003095 |
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