| Dr Michael John Pickford, MD | |
|
3855 Pleasant Hill Rd, Suite 280, Duluth, GA 30096-1407 | |
| (678) 312-7390 | |
| (678) 312-7399 |
| Full Name | Dr Michael John Pickford |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 3855 Pleasant Hill Rd, Duluth, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013915586 | NPI | - | NPPES |
| 2552774 | Other | GA | AETNA |
| 52280401 | Other | GA | BCBS OF GEORGIA |
| O40016072 | Other | GA | RAILROAD MEDICARE |
| 2234680 | Other | GA | CIGNA |
| 5997 | Other | GA | KAISER PERMANENTE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YS0012X | Otolaryngology - Sleep Medicine | 024063 (Georgia) | Secondary |
| 207Y00000X | Otolaryngology | 024063 (Georgia) | Primary |
| Entity Name | Gwinnett Physician Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael John Pickford, MD 3855 Pleasant Hill Rd Ste 280, Duluth, GA 30096-8093 Ph: (678) 312-7390 | Dr Michael John Pickford, MD 3855 Pleasant Hill Rd, Suite 280, Duluth, GA 30096-1407 Ph: (678) 312-7390 |
Dr. Kim Elaine Schmitt, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 3855 Pleasant Hill Rd Ste 420, Duluth, GA 30096 Phone: 770-495-1955 Fax: 770-232-9961 | |
Christopher J Lee, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3500 Duluth Park Ln, Suite 210, Duluth, GA 30096 Phone: 770-622-4400 Fax: 770-622-7766 |