Theresa Kassack Buchanan, NP | |
134 W Campus Dr, Cbx 091, Milledgeville, GA 31061 | |
(478) 445-5288 | |
(478) 445-3142 |
Full Name | Theresa Kassack Buchanan |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 134 W Campus Dr, Milledgeville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902128747 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN149616 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN149616 (Georgia) | Primary |
Entity Name | Internal Medicine Of Griffin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073562633 PECOS PAC ID: 2961493697 Enrollment ID: O20040521000182 |
Entity Name | Next Level Medical Management, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750996070 PECOS PAC ID: 0547671984 Enrollment ID: O20201116002393 |
Mailing Address | Practice Location Address |
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Theresa Kassack Buchanan, NP 265 Lake Island Dr, Sparta, GA 31087-5022 Ph: (770) 412-6880 | Theresa Kassack Buchanan, NP 134 W Campus Dr, Cbx 091, Milledgeville, GA 31061 Ph: (478) 445-5288 |
Ms. Penny E. Wiggins, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2450 Vinson Hwy Se, Milledgeville, GA 31061 Phone: 478-445-7904 Fax: 478-452-8054 | |
Julie Sanders, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 60 Ga Highway 22 W, Blandy Way Office Park, Milledgeville, GA 31061 Phone: 478-451-2701 | |
Keshana Snead, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 102 Airport Rd Ne, Suite A, Milledgeville, GA 31061 Phone: 478-453-0077 Fax: 478-864-1288 | |
Ms. Anna H Ethridge, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 821 N Cobb St, Milledgeville, GA 31061 Phone: 478-454-3969 | |
Beverly Ann Criss, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2450 Vinson Hwy Se, Milledgeville, GA 31061 Phone: 478-445-8002 | |
Chelsea Renee Johnston, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 231 W Hancock St, Milledgeville, GA 31061 Phone: 478-951-6725 | |
Mrs. Stephanie Mcnabb Welch, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 114 Wright Dr, Milledgeville, GA 31061 Phone: 478-452-0005 Fax: 478-453-0077 |