Jonathan Barak Fass, MD | |
1000 Cowles Clinic Way Ste 100, Greensboro, GA 30642-5285 | |
(706) 543-5858 | |
(706) 543-2050 |
Full Name | Jonathan Barak Fass |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 27 Years |
Location | 1000 Cowles Clinic Way Ste 100, Greensboro, 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 |
---|---|---|---|
1104821917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 046089 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dermatology Affiliates Llc | 5799763975 | 15 |
Georgia Skin Cancer And Aestheitic Dermatology, Llc | 0244328649 | 20 |
Entity Name | Dermatology Affiliates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730244872 PECOS PAC ID: 5799763975 Enrollment ID: O20040713000970 |
Entity Name | Georgia Skin Cancer & Aestheitic Dermatology, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205026168 PECOS PAC ID: 0244328649 Enrollment ID: O20071119000529 |
Entity Name | Dermatology Of Athens, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023115482 PECOS PAC ID: 0547385486 Enrollment ID: O20100915000459 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Barak Fass, MD 1180 Resurgence Dr Ste 100, Watkinsville, GA 30677-7211 Ph: (706) 543-5858 | Jonathan Barak Fass, MD 1000 Cowles Clinic Way Ste 100, Greensboro, GA 30642-5285 Ph: (706) 543-5858 |
Dr. Jill Buckthal-mccuin, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1000 Cowles Clinc Way, Aspen Cottages, Greensboro, GA 30642 Phone: 706-225-7177 |