| John Eanes Ii, MD | |
|
1577 Northeast Expy Ne, Brookhaven, GA 30329-2401 | |
| (404) 785-0976 | |
| (404) 785-5845 |
| Full Name | John Eanes Ii |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1577 Northeast Expy Ne, Brookhaven, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609866938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 56433 (Georgia) | Primary |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050411000056 |
| Mailing Address | Practice Location Address |
|---|---|
| John Eanes Ii, MD 1001 Johnson Fy Rd Ne, Atlanta, GA 30342-1605 Ph: (404) 785-4826 | John Eanes Ii, MD 1577 Northeast Expy Ne, Brookhaven, GA 30329-2401 Ph: (404) 785-0976 |
Daniel Salinas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1575 Northeast Expy Ne, Brookhaven, GA 30329 Phone: 404-785-1259 Fax: 404-785-2034 | |
Denise Makala, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1777 Northeast Expy Ne, Zalik Behavioral And Mental Health Center, Brookhaven, GA 30329 Phone: 404-785-7878 Fax: 704-381-6841 | |
Dr. Karen Broder, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3367 Buford Hwy Ne, Suite 910, Brookhaven, GA 30329 Phone: 678-843-8700 | |
James Fortenberry, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1575 Northeast Expy Ne, Brookhaven, GA 30329 Phone: 404-785-1313 Fax: 404-785-6233 | |
Dr. Danielle Ibelema, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4062 Peachtree Rd Ne Ste A-536, Brookhaven, GA 30319 Phone: 678-322-8138 | |
Usha Sathian, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1575 Northeast Expy Ne, Brookhaven, GA 30329 Phone: 404-785-7117 Fax: 404-785-7992 |