Heinrich Von Ewegen, FNP-BC | |
495 Charles Hardy Pkwy, Dallas, GA 30157-5723 | |
(866) 389-2727 | |
Not Available |
Full Name | Heinrich Von Ewegen |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 495 Charles Hardy Pkwy, Dallas, 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 |
---|---|---|---|
1891369021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN146338 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Minuteclinic Llc | 6709850241 | 589 |
Entity Name | Minuteclinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20051024000186 |
Mailing Address | Practice Location Address |
---|---|
Heinrich Von Ewegen, FNP-BC 495 Charles Hardy Pkwy, Dallas, GA 30157-5723 Ph: (866) 389-2727 | Heinrich Von Ewegen, FNP-BC 495 Charles Hardy Pkwy, Dallas, GA 30157-5723 Ph: (866) 389-2727 |
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