Mrs Grace Nwachukwu Ibeanusi, NP | |
896 Highway 81 E, Mcdonough, GA 30252-2914 | |
(678) 732-1520 | |
Not Available |
Full Name | Mrs Grace Nwachukwu Ibeanusi |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 896 Highway 81 E, Mcdonough, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366776924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN118753 (Georgia) | Primary |
Entity Name | Caedel Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710922075 PECOS PAC ID: 0648258988 Enrollment ID: O20040712001450 |
Mailing Address | Practice Location Address |
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Mrs Grace Nwachukwu Ibeanusi, NP Po Box 102038, Atlanta, GA 30368-2038 Ph: () - | Mrs Grace Nwachukwu Ibeanusi, NP 896 Highway 81 E, Mcdonough, GA 30252-2914 Ph: (678) 732-1520 |
Mrs. Brandie Ann Villanova, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Enterprise Pkwy, Mcdonough, GA 30253 Phone: 678-583-9071 | |
Ms. Rita Raynel Givens, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1333 Vine Cir, Mcdonough, GA 30253 Phone: 631-645-2812 | |
Catherine A Nkongho, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 437 Concord Cir, Mcdonough, GA 30253 Phone: 240-491-6813 | |
Joyce Paulette Thompson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4324 Gladys Ct, Mcdonough, GA 30252 Phone: 404-643-6597 | |
Mrs. Betty Jean Harris, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Michael Ln, Mcdonough, GA 30252 Phone: 770-401-1901 | |
Emily Il Arthur, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Regency Park Dr Ste 140, Mcdonough, GA 30253 Phone: 770-957-8626 Fax: 770-957-7200 | |
Brad Alan Oglesby, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 126 Oakwood Trl, Mcdonough, GA 30252 Phone: 678-591-6798 |