| Dr Mark Andrew Supan, MD | |
|
220 J L White Dr, Suite 120, Jasper, GA 30143-4893 | |
| (706) 635-3539 | |
| Not Available |
| Full Name | Dr Mark Andrew Supan |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 20 Years |
| Location | 220 J L White Dr, Jasper, 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 |
|---|---|---|---|
| 1972701936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 065503 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emory Johns Creek Hospital | Johns creek, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Emory Clinic Inc | 8820901408 | 3084 |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Andrew Supan, MD 220 J L White Dr, Suite 120, Jasper, GA 30143-4893 Ph: (706) 692-3539 | Dr Mark Andrew Supan, MD 220 J L White Dr, Suite 120, Jasper, GA 30143-4893 Ph: (706) 635-3539 |
Mr. Michael Edward Lynch Sr., MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 J L White Dr Ste 120, Jasper, GA 30143 Phone: 706-692-3539 | |
Dr. John Farr, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 220 J L White Dr Ste 120, Jasper, GA 30143 Phone: 706-692-3539 | |
George Bradford Cabe, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 J L White Dr Ste 120, Jasper, GA 30143 Phone: 706-692-3539 | |
Dr. Vincent G Molinari, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 220 J L White Dr, Suite 120, Jasper, GA 30143 Phone: 706-692-3539 Fax: 706-692-9364 | |
Keyasha Beaty Robbs, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 J L White Dr Ste 120, Jasper, GA 30143 Phone: 706-692-3539 | |
Jeffrey L Frye, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 220 J L White Dr Ste 120, Jasper, GA 30143 Phone: 706-692-3539 |