| Jeffrey Edward Sootin, MD | |
|
1800 Tree Lane Rd, Suite 330, Snellville, GA 30078-4700 | |
| (770) 978-0561 | |
| (770) 978-0546 |
| Full Name | Jeffrey Edward Sootin |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 31 Years |
| Location | 1800 Tree Lane Rd, Snellville, 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 |
|---|---|---|---|
| 1912909573 | NPI | - | NPPES |
| 020047989 | Other | GA | RAILROAD MEDICARE |
| 000880591C | Medicaid | GA | |
| 00880591A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 048942 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Surgical Professional Services Llc | 8628253424 | 332 |
| Entity Name | Northside Surgical Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Edward Sootin, MD 1800 Tree Lane Rd, Suite 330, Snellville, GA 30078-4700 Ph: (770) 978-0561 | Jeffrey Edward Sootin, MD 1800 Tree Lane Rd, Suite 330, Snellville, GA 30078-4700 Ph: (770) 978-0561 |
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 | |
Hisa Yamaguchi, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1600 Medical Way Ste 220, Snellville, GA 30078 Phone: 770-972-7999 Fax: 770-972-9528 | |
Dr. Raquel Camille Jones, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 |