Mr Robert Dean Devlin Ii, | |
302 Paulding Blvd, Dallas, GA 30157-0635 | |
(229) 269-7889 | |
Not Available |
Full Name | Mr Robert Dean Devlin Ii |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 302 Paulding Blvd, Dallas, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093471153 | NPI | - | NPPES |
RN248400 | Other | GA | GEORGIA BOARD OF NURSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN248400 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Bortolazzo Group, Llc | 3476554320 | 72 |
Entity Name | The Bortolazzo Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert Dean Devlin Ii, 302 Paulding Blvd, Dallas, GA 30157-0635 Ph: (229) 269-7889 | Mr Robert Dean Devlin Ii, 302 Paulding Blvd, Dallas, GA 30157-0635 Ph: (229) 269-7889 |
Kimberly Williams Naab, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 Nathan Dean Blvd, Dallas, GA 30132 Phone: 770-505-3837 | |
Karen F Frazier, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 495 Charles Hardy Pkwy, Dallas, GA 30157 Phone: 770-231-4783 | |
Yolonda Michelle Rawls, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 149 Parkmont Court, Dallas, GA 30132 Phone: 770-866-1777 | |
Amy Evans, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Village Walk Ste 280, Dallas, GA 30132 Phone: 770-800-6780 | |
Aline Ange Well, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 455 Nathan Dean Blvd, Dallas, GA 30132 Phone: 770-505-3837 | |
Mrs. Amanda Elizabeth Shaw, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 495 Charles Hardy Pkwy, Dallas, GA 30157 Phone: 770-445-2128 |