| Dr Ellica Moore Chu, | |
|
1412 Milstead Ave Ne, Conyers, GA 30012-3877 | |
| (770) 918-3000 | |
| (404) 809-4284 |
| Full Name | Dr Ellica Moore Chu |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 13 Years |
| Location | 1412 Milstead Ave Ne, Conyers, 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 |
|---|---|---|---|
| 1164798385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 75764 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emory Decatur Hospital | Decatur, GA | Hospital |
| Emory Hillandale Hospital | Lithonia, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America Llc | 6608056171 | 732 |
| Entity Name | Emerginet, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164480869 PECOS PAC ID: 4082515853 Enrollment ID: O20040115000322 |
| Entity Name | Emerginet Henry, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811946627 PECOS PAC ID: 4981594900 Enrollment ID: O20040316000137 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124073721 PECOS PAC ID: 6608056171 Enrollment ID: O20121126000128 |
| Entity Name | Walker Lake Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437629342 PECOS PAC ID: 0840531919 Enrollment ID: O20190418001186 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ellica Moore Chu, 235 Peachtree St Ne, Suite 2100, Atlanta, GA 30303-1401 Ph: (770) 994-9326 | Dr Ellica Moore Chu, 1412 Milstead Ave Ne, Conyers, GA 30012-3877 Ph: (770) 918-3000 |
Angela Feazel Mattke, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-994-9326 Fax: 770-994-4747 | |
Jorge E Rivera-kolb, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1008 Meadow Springs Dr Sw, Conyers, GA 30094 Phone: 770-648-6207 | |
John Tucker Irwin, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Stillmeadow Rd Sw, Conyers, GA 30094 Phone: 770-827-9526 | |
Dr. Keith Howell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1412 Milstead Avenue, Conyers, GA 30012 Phone: 770-994-9326 Fax: 770-994-4747 | |
Sepedeh Nabavi, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-597-3081 | |
Dr. Sevara Bryant, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000 |