Allen Terence Raphael, DPM | |
3200 Highlands Parkway, Suite 100, Smyrna, GA 30082-5196 | |
(770) 319-5502 | |
(770) 434-9010 |
Full Name | Allen Terence Raphael |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 21 Years |
Location | 3200 Highlands Parkway, Smyrna, 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 |
---|---|---|---|
1770539801 | NPI | - | NPPES |
52212173-001 | Other | GA | BC/BS, SMYRNA |
761921467P | Medicaid | GA | |
761921467G | Medicaid | GA | |
52212173-002 | Other | GA | BC/BS DOUGLASVILLE |
761921467A | Medicaid | GA | |
946888 | Other | GA | BLUE CROSS BLUE SHIELD GA |
5284933 | Other | GA | CIGNA |
761921467J | Medicaid | GA | |
581994261 | Other | GA | GREAT WEST HEALTHCARE |
761921467C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | POD001050 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Cobb Hospital | Austell, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Village Podiatry Group Llc | 4587646971 | 42 |
Provider Name | Village Podiatry Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508846718 PECOS PAC ID: 4587646971 Enrollment ID: O20040601000776 |
Mailing Address | Practice Location Address |
---|---|
Allen Terence Raphael, DPM 900 Circle 75 Pkwy. Se, Suite 200, Atlanta, GA 30080-3084 Ph: (678) 426-2171 | Allen Terence Raphael, DPM 3200 Highlands Parkway, Suite 100, Smyrna, GA 30082-5196 Ph: (770) 319-5502 |
Mrs. Erika Allison, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3636 Highlands Pkwy Se, Smyrna, GA 30082 Phone: 404-479-7944 | |
Dr. Ashish Kapila, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 Phone: 470-956-4165 Fax: 678-842-5546 | |
Ankle And Foot Centers Of Georgia, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 861 Windy Hill Rd Se, Smyrna, GA 30080 Phone: 770-434-7078 Fax: 770-434-0189 | |
Judi L. Shakula, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3969 S. Cobb Dr., Ste. 102, Smyrna, GA 30080 Phone: 770-319-5502 Fax: 770-434-9010 | |
Dr. Fui Dawson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2430 Herodian Way Se, Suite 210, Smyrna, GA 30080 Phone: 678-679-3300 Fax: 678-679-3430 | |
Vpg 1, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 300 Village Green Cir Se, Suite 200, Smyrna, GA 30080 Phone: 770-384-0284 Fax: 404-446-1957 | |
Sava Podiatry And Wellness Centers Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 1675 Cumberland Pkwy Se Ste 201, Smyrna, GA 30080 Phone: 561-293-5288 |