Karina Tan Lydia, | |
160 Clairemont Ave Ste 445, Decatur, GA 30030-2574 | |
(404) 500-4266 | |
Not Available |
Full Name | Karina Tan Lydia |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 160 Clairemont Ave Ste 445, Decatur, 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 |
---|---|---|---|
1831659317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN242953 (Georgia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN242953 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Personal Recovery Network Llc | 5092611384 | 334 |
Entity Name | Personal Recovery Network Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
Mailing Address | Practice Location Address |
---|---|
Karina Tan Lydia, 160 Clairemont Ave Ste 445, Decatur, GA 30030-2574 Ph: (404) 712-2000 | Karina Tan Lydia, 160 Clairemont Ave Ste 445, Decatur, GA 30030-2574 Ph: (404) 500-4266 |
Antoinette Denise Gamble, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd., Decatur, GA 30033 Phone: 404-321-6111 | |
Sophia P Georges, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1039 Highland Lake Cir, Decatur, GA 30033 Phone: 513-348-2926 | |
Tammy Vardeman Aguilar, RN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 W Ponce De Leon Ave, Suite #242, Decatur, GA 30030 Phone: 404-778-7622 Fax: 404-778-7645 | |
Abdul Niazi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3745 Fax: 404-294-3710 | |
Vivian S. Hayes, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd # 170c, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-235-3038 | |
Jessica Willis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2722 N Decatur Rd, Decatur, GA 30033 Phone: 678-467-7598 | |
Ernest Leonard Gibson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2561 Captains Row, Decatur, GA 30035 Phone: 404-839-2886 |