Prof John Mark Lidell, MMSC, PA-C | |
101 Regency Park Dr Ste 110, Mcdonough, GA 30253-7076 | |
(404) 996-0126 | |
(678) 432-2626 |
Full Name | Prof John Mark Lidell |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 28 Years |
Location | 101 Regency Park Dr Ste 110, Mcdonough, 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 |
---|---|---|---|
1962487538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 002952 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Mailing Address | Practice Location Address |
---|---|
Prof John Mark Lidell, MMSC, PA-C 3576 Highway 138 Se, Stockbridge, GA 30281-7909 Ph: (770) 474-7448 | Prof John Mark Lidell, MMSC, PA-C 101 Regency Park Dr Ste 110, Mcdonough, GA 30253-7076 Ph: (404) 996-0126 |
Lisa Neff Butters, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4303 Jodeco Rd, Mcdonough, GA 30253 Phone: 770-898-7840 | |
John Augustave Carlson, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 259 Jonesboro Rd, Mcdonough, GA 30253 Phone: 770-957-8666 Fax: 770-957-0375 | |
Mrs. Joy Stephanie Daise, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 141 Henry Pkwy, Mcdonough, GA 30253 Phone: 770-288-7692 Fax: 770-288-7690 | |
Swaraj Suhas Hublikar, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2050 Jonesboro Rd Ste A, Mcdonough, GA 30253 Phone: 678-935-0090 Fax: 678-935-0095 | |
Allan B Imes Jr., P.A. Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1631 Highway 20 W, Mcdonough, GA 30253 Phone: 770-288-2822 Fax: 770-692-8177 | |
Robert T Sikes, PA-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1631 Highway 20 W, Mcdonough, GA 30253 Phone: 770-288-2822 Fax: 770-692-8177 | |
Dr. Esraa F Dhabaan, M.D Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 259 Jonesboro Rd, Mcdonough, GA 30253 Phone: 770-957-8666 Fax: 770-957-0375 |