Foster Blake Brin, MD | |
175 Emery Highway, Macon, GA 31217 | |
(478) 751-4446 | |
(478) 751-4444 |
Full Name | Foster Blake Brin |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 175 Emery Highway, Macon, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083701312 | NPI | - | NPPES |
29980 | Other | GA | M.D. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 29980 (Georgia) | Primary |
Entity Name | River Edge Behavioral Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174512966 PECOS PAC ID: 1153315874 Enrollment ID: O20040414000303 |
Mailing Address | Practice Location Address |
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Foster Blake Brin, MD 175 Emery Highway, Macon, GA 31217 Ph: (478) 751-4446 | Foster Blake Brin, MD 175 Emery Highway, Macon, GA 31217 Ph: (478) 751-4446 |
Dr. Justina Yohannan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 Northside Xing, Macon, GA 31210 Phone: 248-953-8147 | |
Dr. Mark J. Prigatano, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 146 Pierce Ave, Macon, GA 31204 Phone: 478-746-2333 Fax: 478-845-4493 | |
Dr. Robert Alvin Foster Iii, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3351 Northside Dr, Macon, GA 31210 Phone: 478-201-6636 | |
Dr. Diane Casanueva Elliott, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 277 Pierce Ave, Macon, GA 31204 Phone: 478-755-0060 Fax: 478-743-3508 | |
Dinah K Ayna, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 250 Martin Luther King Jr Blvd, Macon, GA 31201 Phone: 478-301-4111 Fax: 478-301-2272 | |
Dr. Stacey Smoot Owen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5398 Thomaston Rd, Suite B, Macon, GA 31220 Phone: 478-476-8868 Fax: 478-476-8161 |