Dr Heather Hensley Ivy, DO | |
2500 Hospital Blvd Ste 280, Roswell, GA 30076 | |
(770) 754-0787 | |
Not Available |
Full Name | Dr Heather Hensley Ivy |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 8 Years |
Location | 2500 Hospital Blvd Ste 280, Roswell, 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 |
---|---|---|---|
1124280953 | NPI | - | NPPES |
6193 | Other | OK | OSTEOPATHIC PHYSICIAN AND SURGEON |
83764 | Other | GA | OSTEOPATHIC PHYSICIAN AND SURGEON |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 83764 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Goodman Dermatology Pc | 7810029246 | 19 |
Entity Name | Goodman Dermatology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770801144 PECOS PAC ID: 7810029246 Enrollment ID: O20100720000586 |
Mailing Address | Practice Location Address |
---|---|
Dr Heather Hensley Ivy, DO 2500 Hospital Blvd Ste 280, Roswell, GA 30076-4918 Ph: (770) 754-0787 | Dr Heather Hensley Ivy, DO 2500 Hospital Blvd Ste 280, Roswell, GA 30076 Ph: (770) 754-0787 |
Kiley Katherine Fagan, MD Dermatology Medicare: Medicare Enrolled Practice Location: 775 Aronson Lake Ct, Roswell, GA 30075 Phone: 770-296-3795 | |
Dr. Judith Lila Silverstein, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076 Phone: 770-751-1133 Fax: 770-751-7410 | |
Dr. Josh A Hammel, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2500 Hospital Blvd Ste 280, Roswell, GA 30076 Phone: 770-754-0787 Fax: 770-755-5890 | |
Dr. Michael Scott Fisher, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1265 Upper Hembree Rd, Suite 100, Roswell, GA 30076 Phone: 770-751-1133 Fax: 770-751-7410 | |
Dr. Eugene Sanik, D.O. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2500 Hospital Blvd, Suite 280, Roswell, GA 30076 Phone: 770-754-0787 Fax: 866-763-0787 | |
Dr. Kevin S Berman, M.D, , PH.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1265 Upper Hembree Rd, Ste 100, Roswell, GA 30076 Phone: 770-751-1133 Fax: 770-751-7410 |