| John Tucker Irwin, | |
|
1200 Stillmeadow Rd Sw, Conyers, GA 30094-5703 | |
| (770) 827-9526 | |
| Not Available |
| Full Name | John Tucker Irwin |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 14 Years |
| Location | 1200 Stillmeadow Rd Sw, Conyers, 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 |
|---|---|---|---|
| 1154610640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4301105193 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 35.124062 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Georgia Health System- Brunswick Campus | Brunswick, GA | Hospital |
| Northern Light Maine Coast Hospital | Ellsworth, ME | Hospital |
| A R Gould Hospital | Presque isle, ME | Hospital |
| Northern Light Inland Hospital | Waterville, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medicine Services Of Maine Llc | 1052657616 | 50 |
| Emergency Physicians Inc | 7911811435 | 79 |
| Entity Name | Emergency Medicine Services Of Maine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578032058 PECOS PAC ID: 1052657616 Enrollment ID: O20190118000889 |
| Mailing Address | Practice Location Address |
|---|---|
| John Tucker Irwin, 1200 Stillmeadow Rd Sw, Conyers, GA 30094-5703 Ph: (770) 827-9526 | John Tucker Irwin, 1200 Stillmeadow Rd Sw, Conyers, GA 30094-5703 Ph: (770) 827-9526 |
Angela Feazel Mattke, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-994-9326 Fax: 770-994-4747 | |
Jorge E Rivera-kolb, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1008 Meadow Springs Dr Sw, Conyers, GA 30094 Phone: 770-648-6207 | |
Dr. Ellica Moore Chu, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000 Fax: 404-809-4284 | |
Dr. Keith Howell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1412 Milstead Avenue, Conyers, GA 30012 Phone: 770-994-9326 Fax: 770-994-4747 | |
Sepedeh Nabavi, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-597-3081 | |
Dr. Sevara Bryant, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-918-3000 |