Aden Abate Desta, | |
3950 Austell Rd, Austell, GA 30106-1121 | |
(770) 732-4000 | |
Not Available |
Full Name | Aden Abate Desta |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3950 Austell Rd, Austell, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265136808 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 283567 (Georgia) | Primary |
Entity Name | Wellstar Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
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Aden Abate Desta, 3950 Austell Rd, Austell, GA 30106-1121 Ph: (770) 732-4000 | Aden Abate Desta, 3950 Austell Rd, Austell, GA 30106-1121 Ph: (770) 732-4000 |
Mrs. Kelsey Irene Fortier, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1605 Mulkey Rd, Suite 220, Austell, GA 30106 Phone: 470-956-3760 | |
Manuel Piri, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1676 Mulkey Rd, Suite A, Austell, GA 30106 Phone: 678-838-6600 Fax: 678-838-6602 | |
Ms. Kristin L Faine, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 E West Connector, Austell, GA 30106 Phone: 770-438-1680 | |
Shawn Michael Kade, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1810 Mulkey Rd Ste 202, Austell, GA 30106 Phone: 770-694-6349 | |
Takiyah Johnson Turks, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1625 Hospital North Dr Ste 150, Austell, GA 30106 Phone: 470-732-6950 Fax: 770-739-0138 | |
Elizabeth Bilfinger Hill, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3825 Medical Park Dr Ste 100, Austell, GA 30106 Phone: 770-948-5578 | |
Mrs. Emily Jane Tackett, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 470-732-5201 Fax: 470-792-5209 |