| Palcare Health Llc | |
|
1315 Merry Ln Ne Atlanta GA 30329-3903 | |
| (201) 564-0142 | |
| Not Available |
| Full Name | Palcare Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1315 Merry Ln Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Kire Budzakoski (V.P. OF FINANCE) |
| Authorized Official Contact | 2016792675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palcare Health Llc 2 University Plz Ste 204 Hackensack NJ 07601-6211 Ph: (012) 564-0142 | Palcare Health Llc 1315 Merry Ln Ne Atlanta GA 30329-3903 Ph: (201) 564-0142 |
| NPI Number | 1710545553 |
|---|---|
| Provider Enumeration Date | 06/05/2019 |
| Last Update Date | 01/16/2023 |
| Medicare PECOS PAC ID | 5092045997 |
|---|---|
| Medicare Enrollment ID | O20190918003757 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710545553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | (* (Not Available)) | Primary |
| Provider Name | Lee Pennington Mcnichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376034983 PECOS PAC ID: 0648522425 Enrollment ID: I20181005000000 |
| Provider Name | Renee Brack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790293215 PECOS PAC ID: 5193087252 Enrollment ID: I20210610001245 |
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