| Dr Tristan Michael Stani, MD | |
|
1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3875 | |
| (770) 219-6520 | |
| Not Available |
| Full Name | Dr Tristan Michael Stani |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 14 Years |
| Location | 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, 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 |
|---|---|---|---|
| 1477811826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 82641 (Georgia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
| Habersham County Medical Ctr | Demorest, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Georgia Physicians Group Inc | 6901898386 | 706 |
| 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 |
| Entity Name | Emory Medical Care Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
| Entity Name | Northeast Georgia Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tristan Michael Stani, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Dr Tristan Michael Stani, MD 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501-3875 Ph: (770) 219-6520 |
Dr. Betsy H Grunch, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se, Ste 300, Gainesville, GA 30501 Phone: 770-534-7200 Fax: 678-450-3778 | |
Dr. Zain Boghani, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1315 Jesse Jewell Pkwy Ne Ste 300, Gainesville, GA 30501 Phone: 770-219-6520 | |
Arun Thankachan Jacob, M.B.B.S. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1315 Jesse Jewell Pkwy Ne, Suite 300, Gainesville, GA 30501 Phone: 770-219-6520 Fax: 770-219-6521 |