| Mobile Care Physicians Group Pc | |
|
755 N Brown Rd Ste 200 Lawrenceville GA 30043 | |
| (206) 738-4179 | |
| Not Available |
| Full Name | Mobile Care Physicians Group Pc |
|---|---|
| Speciality | Social Worker |
| Location | 755 N Brown Rd, Lawrenceville, Georgia |
| Authorized Official Name and Position | Leonid Popov (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5104175142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Care Physicians Group Pc 8270 Woodland Center Blvd Tampa FL 33614-2401 Ph: (630) 454-0257 | Mobile Care Physicians Group Pc 755 N Brown Rd Ste 200 Lawrenceville GA 30043 Ph: (206) 738-4179 |
| NPI Number | 1457010126 |
|---|---|
| Provider Enumeration Date | 12/10/2021 |
| Last Update Date | 12/28/2023 |
| Certification Date | 12/28/2023 |
| Medicare PECOS PAC ID | 8426440892 |
|---|---|
| Medicare Enrollment ID | O20220627000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457010126 | NPI | - | NPPES |
| 2240771 | Medicaid | WA |
| Provider Name | Sarah Christine Davison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235552308 PECOS PAC ID: 2365876190 Enrollment ID: I20200102001002 |
| Provider Name | Ann F Lauritsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568614873 PECOS PAC ID: 0143254995 Enrollment ID: I20210217003073 |
| Provider Name | Rebecca Jo Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861529976 PECOS PAC ID: 5193115368 Enrollment ID: I20211201002739 |
| Provider Name | Heidi Chiyomi Yamamoto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265106942 PECOS PAC ID: 4183010374 Enrollment ID: I20220418000360 |
| Provider Name | Sajad Zalzala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639311509 PECOS PAC ID: 5092962209 Enrollment ID: I20220707002217 |
| Provider Name | Pamela Renee Simon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447996921 PECOS PAC ID: 2668856733 Enrollment ID: I20220908003270 |
| Provider Name | Christie Green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154801538 PECOS PAC ID: 2466895826 Enrollment ID: I20240213002293 |
| Provider Name | Charlene M Mccune |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649911926 PECOS PAC ID: 2466893029 Enrollment ID: I20240514000883 |
Professional Medical Services Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2710 Turning Leaf Dr, Lawrenceville, GA 30044 Phone: 770-638-0084 | |
Reliance Post-op Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2488 Irwell Way, Lawrenceville, GA 30044 Phone: 678-431-6461 | |
Gwinnett Psychology, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1805 Herrington Rd, Bldg. 2, Lawrenceville, GA 30043 Phone: 507-722-2402 Fax: 770-962-1886 | |
Clearmind Psychiatry Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1755 N Brown Rd Ste 200, Lawrenceville, GA 30043 Phone: 732-516-8021 | |
Welgen One Of Georgia Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5415 Sugarloaf Pkwy Ste 1108, Lawrenceville, GA 30043 Phone: 833-935-4361 | |
Summitridge Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Scenic Hwy, Lawrenceville, GA 30045 Phone: 678-442-5900 Fax: 678-442-5909 | |
United Health And Behavioral Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2272 Azalea Dr, Suite A, Lawrenceville, GA 30043 Phone: 770-237-8345 Fax: 866-830-3721 |