| Kristin Michelle Boren, MD | |
|
55 Whitcher St Ne, Suite 250, Marietta, GA 30060-1155 | |
| (770) 428-4475 | |
| Not Available |
| Full Name | Kristin Michelle Boren |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 17 Years |
| Location | 55 Whitcher St Ne, Marietta, 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 |
|---|---|---|---|
| 1316108673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 69552 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Kennestone Hospital | Marietta, GA | Hospital |
| Wellstar Paulding Hospital | Hiram, GA | Hospital |
| Wellstar Cobb Hospital | Austell, GA | Hospital |
| Wellstar Douglas Hospital | Douglasville, 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 |
|---|---|
| Kristin Michelle Boren, MD 55 Whitcher St Ne, Suite 250, Marietta, GA 30060-1155 Ph: (770) 428-4475 | Kristin Michelle Boren, MD 55 Whitcher St Ne, Suite 250, Marietta, GA 30060-1155 Ph: (770) 428-4475 |
Gaspar Msangi, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 250, Marietta, GA 30060 Phone: 770-428-4475 | |
Dr. Shaya Taghechian, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 790 Church St Ne, Suite 430, Marietta, GA 30060 Phone: 770-429-9100 Fax: 770-429-1391 | |
Dr. Bradley Scott Mccowan, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 55 Whitcher St Ne, Suite 250, Marietta, GA 30060 Phone: 770-428-4426 Fax: 770-948-1275 | |
Dr. Chirag Niranjan Dave, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1371 Church Street Ext Ne Ste 200, Marietta, GA 30060 Phone: 678-344-8900 Fax: 678-666-5201 | |
Dr. James S Goodlet Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 185 Blair Valley Dr Ne, Marietta, GA 30060 Phone: 770-880-5372 | |
Jason Lomboy, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1371 Church Street Ext Ne, Marietta, GA 30060 Phone: 678-344-8900 Fax: 678-666-5201 |