| Ia Y Kue, DO | |
|
115 Lee Byrd Rd, Loganville, GA 30052-2310 | |
| (707) 554-4717 | |
| (770) 554-4681 |
| Full Name | Ia Y Kue |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 115 Lee Byrd Rd, Loganville, 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 |
|---|---|---|---|
| 1902883143 | NPI | - | NPPES |
| 45-1674932 | Other | MI | COMMERCIAL FEIN |
| 700H273300 | Other | MI | BLUE CROSS BLUE SHEILD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101015717 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 95143 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastside Medical Center | Snellville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gwinnett Physician Group, Llc | 9133211139 | 99 |
| Entity Name | Gwinnett Physician Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
| Mailing Address | Practice Location Address |
|---|---|
| Ia Y Kue, DO 115 Lee Byrd Rd, Loganville, GA 30052-2310 Ph: (707) 554-4717 | Ia Y Kue, DO 115 Lee Byrd Rd, Loganville, GA 30052-2310 Ph: (707) 554-4717 |
David Albert Fields, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 96 Tara Commons Dr, Loganville, GA 30052 Phone: 770-554-0399 Fax: 770-554-0058 | |
Mrs. Michelle Renee Crumbley, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4398 Atlanta Hwy, Loganville, GA 30052 Phone: 404-948-3019 | |
Dr. Neil Kingsley Groff, MD. Family Medicine Medicare: Medicare Enrolled Practice Location: 115 Lee Byrd Rd, Loganville, GA 30052 Phone: 770-554-4717 Fax: 770-554-4681 | |
Tolulope Arowosegbe, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4398 Atlanta Hwy, Loganville, GA 30052 Phone: 404-948-3019 | |
Karene Gaile Boone, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3435 Highway 81 Ste 100, Loganville, GA 30052 Phone: 678-376-9309 | |
Bhavani Merugu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4593 Lawrenceville Rd, Loganville, GA 30052 Phone: 770-466-8672 | |
Sanjeev S Tendolkar, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4589 Lawrenceville Rd, Loganville, GA 30052 Phone: 770-466-8672 Fax: 770-466-2082 |