| Dr Hermogenes Pagsisihan, MD | |
|
100 Professional Park, Suite 204, Carrollton, GA 30117-3874 | |
| (770) 834-3351 | |
| (770) 830-1518 |
| Full Name | Dr Hermogenes Pagsisihan |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 100 Professional Park, Carrollton, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184615759 | NPI | - | NPPES |
| 866670 | Other | GA | BLUE CROSS |
| 000925361D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 050666 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Home Health Care, An Amedisys Company | Douglasville, GA | Home health agency |
| Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
| Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primary Care Group Of West Georgia | 6709772197 | 9 |
| Entity Name | Primary Care Group Of West Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386635852 PECOS PAC ID: 6709772197 Enrollment ID: O20040224000098 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hermogenes Pagsisihan, MD 100 Professional Park, Suite 204, Carrollton, GA 30117-3874 Ph: (770) 834-3351 | Dr Hermogenes Pagsisihan, MD 100 Professional Park, Suite 204, Carrollton, GA 30117-3874 Ph: (770) 834-3351 |
Andrew Chanyang Rho, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 706 Dixie St Ste 300, Carrollton, GA 30117 Phone: 770-834-6208 Fax: 770-830-7620 | |
Michael Anthony Poss, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1128 S Park St, Carrollton, GA 30117 Phone: 770-686-9153 | |
Dr. Kenneth L Boss, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 Maple St, Carrollton, GA 30117 Phone: 678-390-7915 | |
Erin Michelle Smith, NP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 706 Dixie St Ste 350, Carrollton, GA 30117 Phone: 770-812-5831 | |
Kisha Lafleur, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 706 Dixie St Ste 350, Carrollton, GA 30117 Phone: 770-812-5831 Fax: 770-812-5832 | |
Gregory Benjamin Floyd, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Professional Pl, Suite 202, Carrollton, GA 30117 Phone: 770-832-6861 Fax: 770-832-9432 |