Mrs Jessica R Coburn, FNP-C | |
100 Market Place Blvd Ste 301, Cartersville, GA 30121-8717 | |
(678) 290-4817 | |
Not Available |
Full Name | Mrs Jessica R Coburn |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 100 Market Place Blvd Ste 301, Cartersville, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245871763 | NPI | - | NPPES |
PG1120 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 23255 (South Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN330929 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Weston Group Inc | 8123936796 | 261 |
Entity Name | Sc House Calls Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518048859 PECOS PAC ID: 6800994807 Enrollment ID: O20070613000821 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessica R Coburn, FNP-C 1452 Chester Harris Dr N, Dallas, GA 30132-0368 Ph: () - | Mrs Jessica R Coburn, FNP-C 100 Market Place Blvd Ste 301, Cartersville, GA 30121-8717 Ph: (678) 290-4817 |
Donna Marie Liming, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 768 West Ave, Cartersville, GA 30120 Phone: 770-383-3552 | |
Mrs. Jessica Perri Lay, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15 Medical Dr Ne Ste 101, Cartersville, GA 30121 Phone: 770-386-5221 Fax: 770-386-1128 | |
Sandra Beverley Burrell-spence, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-6510 Fax: 470-490-6517 | |
Sandy Menard, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 W Main St, Cartersville, GA 30120 Phone: 678-719-3240 | |
Mrs. Jacqueline Reid, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Pointe North Dr, Cartersville, GA 30120 Phone: 678-721-0705 Fax: 678-721-5116 | |
Lisa Arvind Patel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-7470 Fax: 770-386-7910 | |
Ms. Lourdes Cristina Irizar, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1328 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 770-382-0029 |