Deborah K Beyenne, | |
2594 Loganville Hwy Ste 101, Grayson, GA 30017-7848 | |
(678) 369-2790 | |
Not Available |
Full Name | Deborah K Beyenne |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 2594 Loganville Hwy Ste 101, Grayson, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205581717 | NPI | - | NPPES |
2021106395 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2021106395 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN315041 (Georgia) | Primary |
Entity Name | Noel Castelino Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841411741 PECOS PAC ID: 0143287748 Enrollment ID: O20041215000655 |
Mailing Address | Practice Location Address |
---|---|
Deborah K Beyenne, 1665 Hatteras Trl, Grayson, GA 30017-2916 Ph: (733) 319-5952 | Deborah K Beyenne, 2594 Loganville Hwy Ste 101, Grayson, GA 30017-7848 Ph: (678) 369-2790 |
Mrs. Larresia Hairston Williamson, RN, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 Silvertop Dr, Grayson, GA 30017 Phone: 678-458-1877 | |
Miss Pamela Amelia Boyd, MS, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2594 Loganville Hwy Ste 101, Grayson, GA 30017 Phone: 678-225-4999 Fax: 678-225-5546 | |
Laqunita Smith, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2126 Leafmore Ct, Grayson, GA 30017 Phone: 770-339-3005 Fax: 770-339-3005 | |
Chidinma Anuliekette, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1098 Winding Down Way, Grayson, GA 30017 Phone: 404-200-3670 | |
Ancy Bobby, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2530 Wevok Way, Grayson, GA 30017 Phone: 678-237-3220 | |
Mrs. Ester Teresa Pulliam, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1637 Athens Hwy, Grayson, GA 30017 Phone: 678-344-8268 Fax: 888-627-6444 |