Dr Ryan Edward Breshears, PHD | |
55 Whitcher St Ne, Suite 420, Marietta, GA 30060-1155 | |
(770) 514-6760 | |
(770) 794-8034 |
Full Name | Dr Ryan Edward Breshears |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 16 Years |
Location | 55 Whitcher St Ne, Marietta, 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 |
---|---|---|---|
1922273358 | NPI | - | NPPES |
PSY003306 | Other | GA | GA LICENSE # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Dr Ryan Edward Breshears, PHD 55 Whitcher St Ne, Suite 420, Marietta, GA 30060-1155 Ph: (770) 514-6760 | Dr Ryan Edward Breshears, PHD 55 Whitcher St Ne, Suite 420, Marietta, GA 30060-1155 Ph: (770) 514-6760 |
Michelle Theresa Jesse, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 55 Whitcher St Ne Ste 420, Marietta, GA 30060 Phone: 770-514-6760 Fax: 770-794-8034 | |
Dr. Jeffrey John Pipe, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 127 Church St Ne, Suite 350, Marietta, GA 30060 Phone: 770-425-8275 Fax: 770-425-8276 | |
Dr. Helen Barnes Vantine, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 550 Kennesaw Ave Nw, Ste 700, Marietta, GA 30060 Phone: 770-424-0033 Fax: 770-424-7744 | |
Dr. Lisa B Story, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4343 Shallowford Rd, Suite E1, Marietta, GA 30062 Phone: 678-237-1827 Fax: 678-868-1808 | |
Dr. Rena Beth Zweben, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3115 Roswell Rd, Suite 201, Marietta, GA 30062 Phone: 678-560-7755 Fax: 678-560-9976 | |
Dr. Rachel Feit, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 55 Whitcher St Ne Ste 420, Marietta, GA 30060 Phone: 770-514-6760 Fax: 770-794-8034 | |
Dr. Cheryl Anderson Williams, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2625 Sandy Plains Rd, Suite 104, Marietta, GA 30066 Phone: 770-509-3711 Fax: 770-509-3799 |