Edward Joel Shanik, MD | |
260 Elm St, Cumming, GA 30040-2467 | |
(770) 887-1668 | |
(770) 781-9937 |
Full Name | Edward Joel Shanik |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 260 Elm St, Cumming, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417916859 | NPI | - | NPPES |
000193179K | Medicaid | GA | |
4048222 | Medicaid | TN | |
00193179J | Medicaid | GA | |
01160889 | Other | GA | AMERIGROUP |
52023332 | Other | GA | BCBS GA |
000193179L | Medicaid | GA | |
000193179M | Medicaid | GA | |
4186949 | Other | TN | BCBS TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 020484 (Georgia) | Primary |
Entity Name | The Hospital Authority Of Habersham County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689736282 PECOS PAC ID: 9436142338 Enrollment ID: O20040406001423 |
Mailing Address | Practice Location Address |
---|---|
Edward Joel Shanik, MD 260 Elm St, Cumming, GA 30040-2467 Ph: (770) 887-1668 | Edward Joel Shanik, MD 260 Elm St, Cumming, GA 30040-2467 Ph: (770) 887-1668 |
Rishita Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 Keith Bridge Rd Ste 100, Cumming, GA 30041 Phone: 770-848-9200 | |
David K. Moore, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2825 Keith Bridge Rd, Suite 100, Cumming, GA 30041 Phone: 770-844-7494 Fax: 770-844-7445 | |
Sheba Naqvi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1230 Bald Ridge Marina Rd Ste 400, Cumming, GA 30041 Phone: 470-826-1905 Fax: 470-826-3334 | |
Dr. Jacob Varghese, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1400 Northside Forsyth Dr Ofc, Suite 350, Cumming, GA 30041 Phone: 404-365-0966 Fax: 770-650-5589 | |
Dr. Elizabeth C Vevera, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1505 Northside Blvd, Ste 4400, Cumming, GA 30041 Phone: 678-513-8800 Fax: 678-513-8500 | |
Dr. Brinkley F Goodson, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 260 Elm St, Cumming, GA 30040 Phone: 770-887-1668 Fax: 770-781-9937 | |
Anant Patel, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3970 Deputy Bill Cantrell Mem Ste 220, Cumming, GA 30040 Phone: 770-709-6922 |