| Wellington Provider Group Pc | |
|
260 Peachtree St Nw Ste 2200 Atlanta GA 30303-1292 | |
| (859) 439-0400 | |
| Not Available |
| Full Name | Wellington Provider Group Pc |
|---|---|
| Speciality | General Practice |
| Location | 260 Peachtree St Nw Ste 2200, Atlanta, Georgia |
| Authorized Official Name and Position | Brittany Dennis (BILLING/CREDENTIALING MANAGER) |
| Authorized Official Contact | 9199127181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellington Provider Group Pc 535 Wellington Way Ste 3300 Lexington KY 40503-1385 Ph: () - | Wellington Provider Group Pc 260 Peachtree St Nw Ste 2200 Atlanta GA 30303-1292 Ph: (859) 439-0400 |
| NPI Number | 1780308973 |
|---|---|
| Provider Enumeration Date | 09/30/2022 |
| Last Update Date | 09/30/2022 |
| Medicare PECOS PAC ID | 8123412459 |
|---|---|
| Medicare Enrollment ID | O20230202002084 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780308973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Carl Seger |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699957308 PECOS PAC ID: 1951455773 Enrollment ID: I20230313002993 |
| Provider Name | Jeremy Stich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295027126 PECOS PAC ID: 7416133616 Enrollment ID: I20230330000237 |
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