| Trifecta Health, Llc | |
|
3617 Braselton Hwy Ste 104 Dacula GA 30019-4667 | |
| (770) 828-8103 | |
| Not Available |
| Full Name | Trifecta Health, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3617 Braselton Hwy Ste 104, Dacula, Georgia |
| Authorized Official Name and Position | Jonathan Hester (OWNER) |
| Authorized Official Contact | 6784517006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trifecta Health, Llc 3617 Braselton Hwy Ste 104 Dacula GA 30019-4667 Ph: () - | Trifecta Health, Llc 3617 Braselton Hwy Ste 104 Dacula GA 30019-4667 Ph: (770) 828-8103 |
| NPI Number | 1538706916 |
|---|---|
| Provider Enumeration Date | 12/05/2019 |
| Last Update Date | 12/05/2019 |
| Medicare PECOS PAC ID | 5496148470 |
|---|---|
| Medicare Enrollment ID | O20220216000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538706916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Hannah R Heilman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497102776 PECOS PAC ID: 9335421965 Enrollment ID: I20170117000193 |
| Provider Name | Jonathan E Hester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700252061 PECOS PAC ID: 7416229414 Enrollment ID: I20170825002806 |
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