| Dr Luis Alberto Gomez Vaca, MD | |
|
1107 Memorial Dr Ste 201, Dalton, GA 30720-8662 | |
| (706) 277-7311 | |
| (706) 272-3512 |
| Full Name | Dr Luis Alberto Gomez Vaca |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 1107 Memorial Dr Ste 201, Dalton, 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 |
|---|---|---|---|
| 1902197064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 71695 (Georgia) | Primary |
| 207Q00000X | Family Medicine | 11016108A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Starr Regional Medical Center Athens | Athens, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fpsc Pllc | 0547557829 | 2 |
| Skin Cancer And Cosmetic Dermatology Center Pc | 8224118773 | 26 |
| Entity Name | Skin Cancer & Cosmetic Dermatology Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144419458 PECOS PAC ID: 8224118773 Enrollment ID: O20080109000552 |
| Entity Name | Fpsc Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841744810 PECOS PAC ID: 0547557829 Enrollment ID: O20160930000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luis Alberto Gomez Vaca, MD 1107 Memorial Dr Ste 201, Dalton, GA 30720-8662 Ph: (706) 277-7311 | Dr Luis Alberto Gomez Vaca, MD 1107 Memorial Dr Ste 201, Dalton, GA 30720-8662 Ph: (706) 277-7311 |
Jane S. Clark, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1107 Memorial Dr, Suite 201, Dalton, GA 30720 Phone: 706-277-7311 | |
Dr. John Y Chung, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1107 Memorial Dr, Ste 201, Dalton, GA 30720 Phone: 706-277-7311 Fax: 706-272-3512 | |
Mrs. Jordan Nix Ralston, P.A.-C Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1108 Professional Blvd, Dalton, GA 30720 Phone: 706-226-7546 Fax: 706-529-6628 | |
Dr. Mary Elizabeth Cole, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1108 Professional Blvd, Dalton, GA 30720 Phone: 706-226-7546 Fax: 706-529-6628 |