Mrs Luella Corine Wheeler-ikuesan, NP-C | |
1990 Lakeside Pkwy, Suite 170, Tucker, GA 30084-5884 | |
(770) 938-1757 | |
(770) 938-1759 |
Full Name | Mrs Luella Corine Wheeler-ikuesan |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1990 Lakeside Pkwy, Tucker, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881611663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN066854 (Georgia) | Primary |
Entity Name | Vision Medical Consulting, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073562922 PECOS PAC ID: 3678589967 Enrollment ID: O20060223000402 |
Entity Name | Community Primary Care Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336492511 PECOS PAC ID: 0648421065 Enrollment ID: O20121113000274 |
Mailing Address | Practice Location Address |
---|---|
Mrs Luella Corine Wheeler-ikuesan, NP-C 6633 Eastbriar Dr, Lithonia, GA 30058-8945 Ph: (770) 484-1802 | Mrs Luella Corine Wheeler-ikuesan, NP-C 1990 Lakeside Pkwy, Suite 170, Tucker, GA 30084-5884 Ph: (770) 938-1757 |
Ms. Dorothy Delisfort-crisostomo, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4228 1st Ave Ste 1, Tucker, GA 30084 Phone: 833-583-4778 Fax: 833-583-4779 | |
Katrina R Bader, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Cres Ctr Pkwy, Department Of Research, Tucker, GA 30084 Phone: 770-496-3770 | |
Nkechi A Saleh, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1479 Brockett Rd Ste 101, Tucker, GA 30084 Phone: 404-625-5427 Fax: 404-508-8944 | |
Mrs. Melanie Noelle Mcmillan, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2260 Northlake Pkwy Ste 211, Tucker, GA 30084 Phone: 770-491-1344 | |
Solina Jinju Chiang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1468 Montreal Rd, Tucker, GA 30084 Phone: 770-638-1400 | |
Harriett Laschell Allen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1468 Montreal Rd, Tucker, GA 30084 Phone: 770-638-1400 | |
Cassandra A Westbrook, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4088 Brookside Manor Dr, Tucker, GA 30084 Phone: 770-686-3428 Fax: 770-686-3428 |