Dr Praya Mam, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Locust Grove, Georgia. His current practice location is
4877 Bill Gardner Pkwy, Locust Grove, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 363-9944.
Dr Praya Mam is licensed to practice in Georgia (license number 00723) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710964408.
Healthcare Provider's Profile
| Full Name | Dr Praya Mam |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 4877 Bill Gardner Pkwy, Locust Grove, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Praya Mam attended and graduated from in
NPI Data:
- NPI Number: 1710964408
- Provider Enumeration Date: 12/23/2005
- Last Update Date: 07/23/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Praya Mam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710964408 | NPI | - | NPPES |
| 00614105A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 00723 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Praya Mam is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Praya Mam, DPM
425 Forest Pkwy, Suite 101,
Forest Park, GA 30297-2185
Ph: (404) 363-9944 | Dr Praya Mam, DPM
4877 Bill Gardner Pkwy,
Locust Grove, GA 30248
Ph: (404) 363-9944 |
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