| Dongjin Yoon, MD | |
|
56 Carriage Oaks Dr, Tyrone, GA 30290-1684 | |
| (316) 570-0392 | |
| (478) 346-0006 |
| Full Name | Dongjin Yoon |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 56 Carriage Oaks Dr, Tyrone, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851501266 | NPI | - | NPPES |
| 202I082618 | Other | GA | GA MEDICARE PTAN |
| 201095850A | Medicaid | KS | |
| 003176635A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 063054 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | 04-37291 (Kansas) | Primary |
| Entity Name | American Family Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157 |
| Entity Name | Jackson Hospital And Clinic, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073264107 PECOS PAC ID: 0547254153 Enrollment ID: O20040414000971 |
| Mailing Address | Practice Location Address |
|---|---|
| Dongjin Yoon, MD 56 Carriage Oaks Dr, Tyrone, GA 30290-1684 Ph: (316) 570-0392 | Dongjin Yoon, MD 56 Carriage Oaks Dr, Tyrone, GA 30290-1684 Ph: (316) 570-0392 |
Dr. Joann Donaldson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 510 Swanson Rd, Tyrone, GA 30290 Phone: 770-908-3449 Fax: 770-964-5260 | |
Dr. Yolanda Wade, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 510 Swanson Rd, Tyrone, GA 30290 Phone: 770-964-5230 Fax: 770-964-5260 | |
Dr. Janet Tirrell Fason, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 Carriage Oaks Dr, Tyrone, GA 30290 Phone: 770-486-8206 Fax: 770-486-8105 | |
Ivy Yvonne Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 Handley Rd, Ste 410, Tyrone, GA 30290 Phone: 770-964-5810 Fax: 678-364-1216 |