| Dr Jennifer Ellen Susoreny-velgos, DO | |
|
1600 Vernon Rd Ste A, Lagrange, GA 30240-4143 | |
| (706) 880-7321 | |
| Not Available |
| Full Name | Dr Jennifer Ellen Susoreny-velgos |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 13 Years |
| Location | 1600 Vernon Rd Ste A, Lagrange, 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 |
|---|---|---|---|
| 1821356601 | NPI | - | NPPES |
| 221624003 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | E-10631 (Arkansas) | Secondary |
| 208600000X | Surgery | OS-18050 (Florida) | Secondary |
| 208600000X | Surgery | 99331 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar West Georgia Medical Center | Lagrange, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Ellen Susoreny-velgos, DO 1600 Vernon Rd Ste A, Lagrange, GA 30240-4143 Ph: (706) 880-7321 | Dr Jennifer Ellen Susoreny-velgos, DO 1600 Vernon Rd Ste A, Lagrange, GA 30240-4143 Ph: (706) 880-7321 |
Dr. Grant Ralston Major Ii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1075 Lafayette Pkwy, Lagrange, GA 30241 Phone: 706-803-1800 Fax: 229-331-7256 | |
Ashley H Stewart, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 Medical Drive, Ste. 506, Lagrange, GA 30240 Phone: 706-880-7320 Fax: 706-812-2640 | |
Dr. Swaroop Nyshadham, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1990 Lukken Industrial Dr W, Suite C, Lagrange, GA 30240 Phone: 706-883-8787 | |
Grant R Major, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 Phone: 706-882-8831 Fax: 706-812-4091 | |
William T Ayers Jr., Surgery Medicare: Medicare Enrolled Practice Location: 303 Smith St, Clark-holder Clinic, P.a., Lagrange, GA 30240 Phone: 706-882-8831 Fax: 706-812-4091 | |
Coney Bae, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1600 Vernon Rd Ste A, Lagrange, GA 30240 Phone: 706-880-4143 Fax: 706-880-7343 | |
Dr. John Woody Major, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 106 Lukken Industrial Dr W, Lagrange, GA 30240 Phone: 706-302-2919 |