Gemma Porsuelo-bangsal, NP | |
3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | |
(770) 931-6318 | |
Not Available |
Full Name | Gemma Porsuelo-bangsal |
---|---|
Gender | Female |
Speciality | Internal Medicine - Hospice And Palliative Medicine |
Location | 3650 Steve Reynolds Blvd, Duluth, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1407874472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RH0002X | Internal Medicine - Hospice And Palliative Medicine | RN333925 (Georgia) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Gemma Porsuelo-bangsal, NP 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 Ph: (770) 931-6318 | Gemma Porsuelo-bangsal, NP 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 Ph: (770) 931-6318 |
Dr. Yeohan Song, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Mcclure Bridge Rd, Duluth, GA 30096 Phone: 770-476-3636 Fax: 770-476-5845 | |
Dr. Aneesh Gupta, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1012 Sugarloaf Reserve Dr, Duluth, GA 30097 Phone: 912-713-2378 | |
Dr. Ahmad S Al-dabagh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3790 Pleasant Hill Rd Ste 170, Duluth, GA 30096 Phone: 770-442-1911 Fax: 810-733-8135 | |
Martin C Ettinger, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3650 Steve Reynolds Blvd, Internal Medicine Health Care Team C, Duluth, GA 30096 Phone: 770-931-6012 | |
Dr. Lewin Go Chuachiaco, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3650 Steve Reynolds Blvd, Dept Of Int Med Hctc Kaiser Permanente Medical Center A, Duluth, GA 30096 Phone: 770-931-6210 Fax: 770-931-6015 | |
Dr. Richard Reid Maxa, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3505 Duluth Park Ln, Building 4, Ste 400, Duluth, GA 30096 Phone: 678-597-3180 Fax: 678-597-3181 | |
Wendy Lin Warren, APRN NP-C Internal Medicine Medicare: Medicare Enrolled Practice Location: 4181 Pleasant Hill Rd Ste 150, Duluth, GA 30096 Phone: 470-292-3820 |