| Hisa Yamaguchi, MD | |
|
1600 Medical Way Ste 220, Snellville, GA 30078-2160 | |
| (770) 972-7999 | |
| (770) 972-9528 |
| Full Name | Hisa Yamaguchi |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 37 Years |
| Location | 1600 Medical Way Ste 220, Snellville, 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 |
|---|---|---|---|
| 1538161195 | NPI | - | NPPES |
| 000557675D | Medicaid | GA | |
| 020028724 | Other | GA | RAILROAD MEDICARE |
| 00557675B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 37426 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastside Medical Center | Snellville, GA | Hospital |
| Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Providers Llc | 9830082825 | 425 |
| Entity Name | Piedmont Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
| Mailing Address | Practice Location Address |
|---|---|
| Hisa Yamaguchi, MD 1600 Medical Way Ste 220, Snellville, GA 30078-2160 Ph: (770) 972-7999 | Hisa Yamaguchi, MD 1600 Medical Way Ste 220, Snellville, GA 30078-2160 Ph: (770) 972-7999 |
Andrew A. Kramer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Medical Way, Suite 220, Snellville, GA 30078 Phone: 770-972-7999 Fax: 770-972-9528 | |
Dr. Marshall Eli Lutske, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 | |
Gordon Bradley Werbel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Tree Lane Rd, Suite 330, Snellville, GA 30078 Phone: 770-978-0561 Fax: 770-978-0546 | |
Dr. Daniel William Maxwell, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Tree Ln Ste 320, Snellville, GA 30078 Phone: 770-972-7999 | |
Jenna Corinne Coon Fussell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Tree Ln Ste 320, Snellville, GA 30078 Phone: 770-972-7999 | |
Dr. Raquel Camille Jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 |