| Dr Dominique' Juanita Crain, MD | |
|
1700 Medical Way, Snellville, GA 30078-2195 | |
| (770) 979-0200 | |
| Not Available |
| Full Name | Dr Dominique' Juanita Crain |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 8 Years |
| Location | 1700 Medical Way, Snellville, Georgia |
| 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 |
|---|---|---|---|
| 1902332745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C3364 (Kentucky) | Secondary |
| 208M00000X | Hospitalist | MD.38149 (Alabama) | Secondary |
| 208M00000X | Hospitalist | 85140 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Norton Hospitals, Inc | Louisville, KY | Hospital |
| Physicians Regional Medical Center | Powell, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 662 |
| Southeastern Physician Services Pc | 0042307852 | 529 |
| Community Medical Associates Inc | 7012811284 | 1310 |
| Entity Name | Cogent Healthcare Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dominique' Juanita Crain, MD Po Box 36258, Belfast, ME 04915-1204 Ph: (251) 318-2678 | Dr Dominique' Juanita Crain, MD 1700 Medical Way, Snellville, GA 30078-2195 Ph: (770) 979-0200 |
Dr. Yagnesh Dave, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-736-2445 Fax: 770-736-2322 |