| Alicia Bonanno, MD | |
|
550 Peachtree St Ne, Atlanta, GA 30308-2212 | |
| (404) 686-2513 | |
| Not Available |
| Full Name | Alicia Bonanno |
|---|---|
| Gender | Female |
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
| Location | 550 Peachtree St Ne, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225455355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 95422 (Georgia) | Primary |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Emory Medical Care Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Bonanno, MD 550 Peachtree St Ne, Atlanta, GA 30308-2212 Ph: () - | Alicia Bonanno, MD 550 Peachtree St Ne, Atlanta, GA 30308-2212 Ph: (404) 686-2513 |
Chhaya J Gandhi, PA-C Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Suite A 4325, Atlanta, GA 30322 Phone: 404-778-3914 | |
Peter Walter Barrett, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 95 Collier Road, Nw, Suite 5015, Atlanta, GA 30309 Phone: 404-605-5699 Fax: 404-355-4235 | |
Dr. John David Vega, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Suite A2200, Atlanta, GA 30322 Phone: 404-778-5040 Fax: 404-778-4346 | |
Paul Jubeong Chai, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-6330 Fax: 404-785-6266 | |
Dr. Eric Louis Sceusi, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 95 Collier Rd Nw, Suite 2055, Atlanta, GA 30309 Phone: 404-605-5699 | |
Dr. Robert A Guyton, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Suite A2200, Atlanta, GA 30322 Phone: 404-778-5040 Fax: 404-778-4346 | |
Dr. Tarek Mohamed Kandeel, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 1365a Clifton Rd Ne, Cardiothoracic Surgery Department, Atlanta, GA 30322 Phone: 404-287-4346 |