| Dr Travan K Jasper, MD | |
|
5661 Bunky Way, Dunwoody, GA 30338-3338 | |
| (770) 652-7341 | |
| (770) 396-9860 |
| Full Name | Dr Travan K Jasper |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 5661 Bunky Way, Dunwoody, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184738528 | NPI | - | NPPES |
| 000794945E | Medicaid | GA | |
| 000794945F | Medicaid | GA | |
| 000794945C | Medicaid | GA | |
| 000794945D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 045506 (Georgia) | Primary |
| Entity Name | Acs Primary Care Physicians - Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050411000056 |
| Entity Name | Coweta Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245556588 PECOS PAC ID: 5395876452 Enrollment ID: O20100706000634 |
| Entity Name | Montgomery Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861773764 PECOS PAC ID: 5395918387 Enrollment ID: O20111108000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Travan K Jasper, MD 5661 Bunky Way, Dunwoody, GA 30338-3338 Ph: (770) 652-7341 | Dr Travan K Jasper, MD 5661 Bunky Way, Dunwoody, GA 30338-3338 Ph: (770) 652-7341 |
Dr. Casey Newman Locarnini, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1730 Mount Vernon Rd Ste B, Dunwoody, GA 30338 Phone: 770-353-2001 Fax: 770-353-2010 |