Mrs Marisa Kristine Blake-raut, FNP-C, ENP-C | |
2481 George Busbee Pkwy Nw, Kennesaw, GA 30144-4961 | |
(770) 423-0000 | |
Not Available |
Full Name | Mrs Marisa Kristine Blake-raut |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 2481 George Busbee Pkwy Nw, Kennesaw, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528532272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN193648 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ennoble Hc Dmv Llc | 9032517925 | 24 |
Entity Name | Peachtree Immediate Care Fp, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
Entity Name | Cherokee Internal Medicine, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790016624 PECOS PAC ID: 8224164710 Enrollment ID: O20100414000334 |
Entity Name | My Doctors Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497183941 PECOS PAC ID: 2860620580 Enrollment ID: O20140102000038 |
Entity Name | Ennoble Hc Dmv Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104492115 PECOS PAC ID: 9032517925 Enrollment ID: O20211029000202 |
Mailing Address | Practice Location Address |
---|---|
Mrs Marisa Kristine Blake-raut, FNP-C, ENP-C 200 N Willow Ct, Alpharetta, GA 30004-5411 Ph: (610) 737-3638 | Mrs Marisa Kristine Blake-raut, FNP-C, ENP-C 2481 George Busbee Pkwy Nw, Kennesaw, GA 30144-4961 Ph: (770) 423-0000 |
Lisa Vivienne Poling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Chastain Rd Nw, Kennesaw, GA 30144 Phone: 678-797-2844 Fax: 678-797-2827 | |
Mrs. Quyen Le Ta, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2628 Myrtlewood Ln Nw, Kennesaw, GA 30144 Phone: 404-324-9413 | |
Ms. Tanya S Wilcox, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152 Phone: 770-515-9000 | |
Mrs. Martricia Meshonna Turner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3805 Cherokee St Nw, Kennesaw, GA 30144 Phone: 770-426-5666 Fax: 770-426-6205 | |
Ms. Stacey Levison, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2782 Cobb Pkwy Nw, Kennesaw, GA 30152 Phone: 770-590-8181 | |
Ms. Kimberly Noel Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 Ernest W Barrett Pkwy Nw # 102b, Kennesaw, GA 30144 Phone: 678-354-2273 | |
Nilomee Patel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2851 Cobb Pkwy Nw Ste 107, Kennesaw, GA 30152 Phone: 770-738-7560 |