| Carissa Anne Sanjuan, MD | |
|
401 Matthew St, Marietta, OH 45750-1635 | |
| (740) 374-7700 | |
| (740) 374-7701 |
| Full Name | Carissa Anne Sanjuan |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 401 Matthew St, Marietta, Ohio |
| 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 |
|---|---|---|---|
| 1689838526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 003031 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Georgia Health System- Brunswick Campus | Brunswick, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cooperative Healthcare Services, Inc. | 9830093640 | 199 |
| Entity Name | Cooperative Healthcare Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Carissa Anne Sanjuan, MD 3780 Eisenhower Pkwy, Macon, GA 31206-0800 Ph: (478) 633-5500 | Carissa Anne Sanjuan, MD 401 Matthew St, Marietta, OH 45750-1635 Ph: (740) 374-7700 |
Katrina R Barnes, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 E 8th St Ste 120, Marietta, OH 45750 Phone: 740-374-4273 Fax: 740-376-5098 | |
Eric C. Hunkele, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 E 8th St, Suite 151, Marietta, OH 45750 Phone: 740-374-4945 Fax: 740-374-4943 | |
Richard Don Clark, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 802 Wayne St, Ste 202, Marietta, OH 45750 Phone: 740-374-4950 Fax: 740-374-4953 | |
Steven Howe, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 153 Rauch Dr, Marietta, OH 45750 Phone: 740-374-3298 | |
Tamara Montgomery, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 E 8th St Ste 141, Marietta, OH 45750 Phone: 740-374-5580 Fax: 740-374-6266 | |
Gayle Galan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1106 Colegate Dr Emergency Dept, Marietta, OH 45750 Phone: 740-568-2000 | |
Tom Wirth Bartsokas, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 802 Wayne St, Suite 100, Marietta, OH 45750 Phone: 740-374-6030 Fax: 740-374-6029 |