Emmanuela Onyinyechi Irebuisi, NP | |
1514 Vernon Rd, Lagrange, GA 30240-4131 | |
(706) 812-2369 | |
(706) 845-3194 |
Full Name | Emmanuela Onyinyechi Irebuisi |
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Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 1514 Vernon Rd, Lagrange, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558847970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN246020 (Georgia) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | RN246020 (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 |
---|---|
Emmanuela Onyinyechi Irebuisi, NP 1514 Vernon Rd, Lagrange, GA 30240-4131 Ph: (706) 812-2369 | Emmanuela Onyinyechi Irebuisi, NP 1514 Vernon Rd, Lagrange, GA 30240-4131 Ph: (706) 812-2369 |
Jennifer Nichole Speelman, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Medical Dr Ste 501, Lagrange, GA 30240 Phone: 706-882-1191 | |
Maria Ann Daniel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Building 200, Lagrange, GA 30240 Phone: 706-884-2641 Fax: 706-884-2353 | |
Notoya Scott, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1075 Lafayette Pkwy Ste 100, Lagrange, GA 30241 Phone: 706-443-5273 Fax: 762-323-1014 | |
Anna Odom, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1602 Vernon Rd, Ste 400, Lagrange, GA 30240 Phone: 706-882-9341 Fax: 706-884-0131 | |
Mr. Harry Rafael Sevilla Abilla, NP-C, CRNA, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 North Davis Street, Lagrange, GA 30240 Phone: 706-812-4068 | |
Joni Lee Winter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-845-3706 Fax: 706-845-2193 | |
John Thomas Veal, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 210 W Broome St, Lagrange, GA 30240 Phone: 706-954-6750 |