| Dr Wanja E Mwangi, MD, MPH | |
|
1412 Milstead Ave Ne, Conyers, GA 30012-3877 | |
| (770) 918-3030 | |
| Not Available |
| Full Name | Dr Wanja E Mwangi |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 13 Years |
| Location | 1412 Milstead Ave Ne, Conyers, 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 |
|---|---|---|---|
| 1982960118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 76118 (Georgia) | Primary |
| 207P00000X | Emergency Medicine | 76118 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
| Piedmont Rockdale Hospital | Conyers, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Walker Lake Emergency Group Pc | 0840531919 | 24 |
| Georgia Emergency Department Services, P.c. | 5597751032 | 59 |
| Entity Name | Georgia Emergency Department Services, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508886912 PECOS PAC ID: 5597751032 Enrollment ID: O20040517001016 |
| 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 | Angelfish Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407259500 PECOS PAC ID: 7517282817 Enrollment ID: O20150209000684 |
| Entity Name | Walker Lake Emergency Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437629342 PECOS PAC ID: 0840531919 Enrollment ID: O20190418001186 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wanja E Mwangi, MD, MPH 660 Ralph Mcgill Blvd Ne Apt 3218, Atlanta, GA 30312-1158 Ph: (706) 224-8984 | Dr Wanja E Mwangi, MD, MPH 1412 Milstead Ave Ne, Conyers, GA 30012-3877 Ph: (770) 918-3030 |
Mary Jane B Kassam, MD General Practice Medicare: Medicare Enrolled Practice Location: 2020 Honey Creek Pkwy Se, Conyers, GA 30013 Phone: 770-929-0813 Fax: 770-922-8653 | |
Mr. Jack Lee Sorg, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 1301 Well Brook Circle, Conyers, GA 30012 Phone: 770-922-3023 Fax: 770-929-1016 | |
Dr. Jackson L Gates, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 1880 Lancaster Drive, Conyers, GA 30013 Phone: 678-591-6509 |