| Dr Stacey Ikebudu, MD | |
|
2985 Mack Dobbs Rd Nw, Kennesaw, GA 30152-2641 | |
| (770) 914-0116 | |
| (770) 955-4278 |
| Full Name | Dr Stacey Ikebudu |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 7 Years |
| Location | 2985 Mack Dobbs Rd Nw, Kennesaw, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033772298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 41924 (Alabama) | Secondary |
| 207R00000X | Internal Medicine | 91580 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Floyd Medical Center | Rome, GA | Hospital |
| Piedmont Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 24 On Physicians Pc | 5698688141 | 277 |
| Allatoona Physician Services Pc | 7517342579 | 31 |
| Entity Name | 24 On Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912956251 PECOS PAC ID: 5698688141 Enrollment ID: O20031216000444 |
| Entity Name | V Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699441162 PECOS PAC ID: 1355748013 Enrollment ID: O20210922001723 |
| Entity Name | Allatoona Physician Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497482350 PECOS PAC ID: 7517342579 Enrollment ID: O20220913000203 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stacey Ikebudu, MD Po Box 746765, Atlanta, GA 30374-6765 Ph: (770) 914-0116 | Dr Stacey Ikebudu, MD 2985 Mack Dobbs Rd Nw, Kennesaw, GA 30152-2641 Ph: (770) 914-0116 |
Dr. Ryan Mathew, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4255 Wade Green Rd Nw Ste 925, Kennesaw, GA 30144 Phone: 770-284-3150 | |
Mridula Vinjamuri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 187 Chastain Rd Ne, Suite 250, Kennesaw, GA 30144 Phone: 770-218-6450 | |
Angel M Cobiella, MD MBA Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 750 Townpark Lane, Internal Medicine Health Care Team A, Kennesaw, GA 30144 Phone: 770-514-5403 Fax: 770-514-5493 | |
Kaleigh Herron, NP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 187 Chastain Rd Nw Ste 250, Kennesaw, GA 30144 Phone: 770-218-6450 | |
Dr. Marshall Fleurant, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 Townpark Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144 Phone: 770-514-5401 Fax: 617-414-1577 | |
Dr. Ndidiamaka O Obadan, M.D.,MS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3105 Creekside Village Dr Nw Ste 801, Kennesaw, GA 30144 Phone: 404-566-4623 |