| Adrene Sellers-scott, MD | |
|
150 Medical Way Ste B1, Riverdale, GA 30274-2533 | |
| (770) 909-4449 | |
| (770) 909-6277 |
| Full Name | Adrene Sellers-scott |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 150 Medical Way Ste B1, Riverdale, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821193046 | NPI | - | NPPES |
| 894980142C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 058777 (Georgia) | Primary |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Adrene Sellers-scott, MD 150 Medical Way Ste B1, Riverdale, GA 30274-2533 Ph: (770) 909-4449 | Adrene Sellers-scott, MD 150 Medical Way Ste B1, Riverdale, GA 30274-2533 Ph: (770) 909-4449 |
Dr. Angela Patrice Jackson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 808 Commerce Blvd, Suite A, Riverdale, GA 30296 Phone: 770-996-9191 Fax: 770-996-5298 | |
Moo Hee Lee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 251 Medical Way, Suite A, Riverdale, GA 30274 Phone: 770-991-2176 Fax: 770-991-2178 | |
Manjit Singh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 808 Commerce Blvd, Suite A, Riverdale, GA 30296 Phone: 770-996-9191 | |
Dr. Amjad Iqbal, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 189c Medical Way, Riverdale, GA 30274 Phone: 770-991-8900 Fax: 770-991-8917 | |
Joana Isabel Benayoun, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 808 Commerce Blvd, Suite A, Riverdale, GA 30296 Phone: 770-996-9191 Fax: 770-996-5298 | |
Odell Barnwell Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 251 Medical Way, Suite A, Riverdale, GA 30274 Phone: 770-991-2176 Fax: 770-991-2178 | |
Sook Hee Ahn, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 251 Medical Way, Suite A, Riverdale, GA 30274 Phone: 770-991-2176 Fax: 770-991-2178 |