| Miss Deidra Dyan Munsanto, PA-C | |
|
12201 Highway 92 Ste D, Woodstock, GA 30188 | |
| (770) 517-4621 | |
| Not Available |
| Full Name | Miss Deidra Dyan Munsanto |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 12201 Highway 92 Ste D, Woodstock, 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 |
|---|---|---|---|
| 1235432170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1937 (Oklahoma) | Secondary |
| 363A00000X | Physician Assistant | (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Kennestone Hospital | Marietta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group, Llc | 6709065402 | 1917 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Deidra Dyan Munsanto, PA-C 805 Sandy Plains Road, Medical Staff Services, Marietta, GA 30066-6340 Ph: () - | Miss Deidra Dyan Munsanto, PA-C 12201 Highway 92 Ste D, Woodstock, GA 30188 Ph: (770) 517-4621 |
Austin Deal, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9670 Main St, Woodstock, GA 30188 Phone: 678-540-1989 | |
Mr. Michael Wiley Mitchell, CST,CFA,CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2521 E Cherokee Dr, Woodstock, GA 30188 Phone: 770-704-9730 | |
Mrs. Michelle King Clardy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Towne Lake Pkwy, Ste 404, Woodstock, GA 30189 Phone: 770-926-9229 Fax: 678-415-2164 | |
Amanda Bostock Sowisdral, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 Phone: 770-442-1911 | |
Megan Andrews Perry, Physician Assistant Medicare: Medicare Enrolled Practice Location: 847 Society Ct, Woodstock, GA 30188 Phone: 770-630-8735 | |
Mrs. Nicole T Rivera, P.A.,C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Towne Lake Pkwy, Suite 308, Woodstock, GA 30189 Phone: 770-926-5459 Fax: 770-926-4421 | |
Elizabeth Danner Vandel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 203 Woodpark Pl, Building C, Woodstock, GA 30188 Phone: 770-926-4150 Fax: 770-926-0594 |