| Dr Lee A Martin Jr, MD | |
|
200 W Academy Street, Gainesville, GA 30501 | |
| (770) 282-8820 | |
| Not Available |
| Full Name | Dr Lee A Martin Jr |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 44 Years |
| Location | 200 W Academy Street, Gainesville, 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 |
|---|---|---|---|
| 1093763385 | NPI | - | NPPES |
| 000331713E | Medicaid | GA | |
| 00331713A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 027606 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
| Barrow Regional Medical Center | Winder, GA | Hospital |
| Northeast Georgia Medical Center Lumpkin | Dahlonega, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gainesville Radiology Group Pc | 9335046382 | 75 |
| Entity Name | Gainesville Radiology Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922037605 PECOS PAC ID: 9335046382 Enrollment ID: O20031217000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lee A Martin Jr, MD Po Box 2417, Gainesville, GA 30503-2417 Ph: (770) 532-9936 | Dr Lee A Martin Jr, MD 200 W Academy Street, Gainesville, GA 30501 Ph: (770) 282-8820 |
Dr. Scott M Stephen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Dr. Ajay Kumar Ravi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 | |
Ms. Neha Agrawal, Radiology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 | |
Dr. John C Tonkin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 | |
Dr. Brian P Gay, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 425 Broad St Se, Suite 102, Gainesville, GA 30501 Phone: 770-718-9776 Fax: 770-718-1910 | |
Jeffrey Waltz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 |