| Kenneth T Horlander, MD | |
|
Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 | |
| (706) 882-8831 | |
| (706) 812-4091 |
| Full Name | Kenneth T Horlander |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 28 Years |
| Location | Clark-holder Clinic, P.a., Lagrange, 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 |
|---|---|---|---|
| 1093750051 | NPI | - | NPPES |
| 009984970 | Medicaid | AL | |
| 046128 | Other | GA | GEORGIA LICENSE |
| 000944974B | Medicaid | GA | |
| 000944974A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 46128 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Georgia Home Care | Lagrange, GA | Home health agency |
| Wellstar West Georgia Medical Center | Lagrange, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emory Specialty Associates, Llc | 3476559782 | 515 |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| 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 |
| Entity Name | Southeastern Hospitalist Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160107001140 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth T Horlander, MD Emory At Lagrange, 303 Smith Street, Lagrange, GA 30240-2745 Ph: (706) 882-8831 | Kenneth T Horlander, MD Clark-holder Clinic, P.a., 303 Smith Street, Lagrange, GA 30240 Ph: (706) 882-8831 |
Steven Tae Yi, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 | |
Juan Francisco Vasquez Mendez, MD Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 106 Old Mill Rd Ste 100, Lagrange, GA 30241 Phone: 706-803-8500 | |
Ravina V Kadam, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Dr Ste 704, Lagrange, GA 30240 Phone: 706-880-7361 | |
Syed Abuzar Waseem Ahmed, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1602 Vernon Rd Ste 400, Lagrange, GA 30240 Phone: 706-882-9341 Fax: 706-884-0131 | |
Mr. Melhim Bou Alwan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 Fax: 706-812-2471 | |
Dr. Ariyo Oluwole Olobatoke, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Dr, Lagrange, GA 30240 Phone: 706-880-7222 Fax: 706-880-7223 |