| Derrell Winsor Anglyn Jr, MD | |
|
55 Sims St, Mcdonough, GA 30253-2320 | |
| (770) 957-3922 | |
| (770) 957-5477 |
| Full Name | Derrell Winsor Anglyn Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 55 Sims St, Mcdonough, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952472375 | NPI | - | NPPES |
| 00281487D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 024198 (Georgia) | Primary |
| Entity Name | Anglyn Family Medical Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043381361 PECOS PAC ID: 8921157942 Enrollment ID: O20090522000133 |
| Mailing Address | Practice Location Address |
|---|---|
| Derrell Winsor Anglyn Jr, MD 55 Sims St, Mcdonough, GA 30253-2320 Ph: (770) 957-3922 | Derrell Winsor Anglyn Jr, MD 55 Sims St, Mcdonough, GA 30253-2320 Ph: (770) 957-3922 |
Kashif Ahmed, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2200 Highway 155 N, Mcdonough, GA 30252 Phone: 678-490-0341 Fax: 678-490-0349 | |
Fred Kennard Hood, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 65 Old Jackson Rd, Mcdonough, GA 30252 Phone: 678-490-0080 Fax: 678-490-0091 | |
Dr. Maristella Riley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 886 Hampton Rd, Mcdonough, GA 30253 Phone: 678-432-1119 Fax: 678-432-1169 | |
Ernest L. Fletcher, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 80 Vinings Dr, Mcdonough, GA 30253 Phone: 678-284-6291 | |
Evelyn O'leary Redding, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 65 Old Jackson Road, Mcdonough, GA 30252 Phone: 678-490-0080 Fax: 678-490-0091 | |
Dr. Kevin Michael Kurey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Regency Park Drive, Suite 130, Mcdonough, GA 30253 Phone: 770-957-3935 Fax: 770-954-0573 | |
Dr. William Harrell Vanlaar, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 68 Hampton St, Mcdonough, GA 30253 Phone: 770-914-0342 Fax: 770-914-0493 |