| Jack P Chen, MD | |
|
5670 Peachtree Dunwoody Rd Ste 880, Atlanta, GA 30342-4789 | |
| (404) 256-2525 | |
| (404) 256-9589 |
| Full Name | Jack P Chen |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 37 Years |
| Location | 5670 Peachtree Dunwoody Rd Ste 880, Atlanta, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821082389 | NPI | - | NPPES |
| 000659788B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | 040031 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital | Atlanta, GA | Hospital |
| Northside Hospital Forsyth | Cumming, GA | Hospital |
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Cardiovascular Professional Services, Llc | 9739189838 | 132 |
| Entity Name | Saint Josephs Hospital Of Atlanta Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679664395 PECOS PAC ID: 3072509520 Enrollment ID: O20040422000768 |
| Entity Name | Northside Cardiovascular Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518979921 PECOS PAC ID: 9739189838 Enrollment ID: O20070112000232 |
| Entity Name | North Atlanta Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack P Chen, MD 5670 Peachtree Dunwoody Rd, Ste 880, Atlanta, GA 30342-4789 Ph: (404) 256-2525 | Jack P Chen, MD 5670 Peachtree Dunwoody Rd Ste 880, Atlanta, GA 30342-4789 Ph: (404) 256-2525 |
Khadeja Jamilia Johnson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 Howell Mill Rd Nw Ste 275, Atlanta, GA 30318 Phone: 404-756-1290 | |
Dr. Matthew J. Wilson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Mt Vernon Hwy, Suite 530, Atlanta, GA 30328 Phone: 404-252-7970 Fax: 404-250-0553 | |
Dr. Shannon Walker Ike, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303 Phone: 404-616-1000 | |
Kajal Patel, M.D, M.P.H Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1525 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-2700 | |
Dr. Earl Stewart Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2850 Paces Ferry Rd Se Ste 460, Atlanta, GA 30339 Phone: 678-556-4950 | |
Ms. Charvette Gaitone Shumaker-kirk, AGACNP-; AGPCNP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36 Linden Ave Ne, Atlanta, GA 30308 Phone: 404-778-1900 | |
Mary E. Bergh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 980 Johnson Ferry Rd Ste 520, Atlanta, GA 30342 Phone: 404-303-3320 Fax: 404-303-3464 |