| Loc B Pham, MD | |
|
677 Church St Ne, Marietta, GA 30060-1101 | |
| (770) 794-0477 | |
| (770) 794-3108 |
| Full Name | Loc B Pham |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 29 Years |
| Location | 677 Church St Ne, Marietta, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548248685 | NPI | - | NPPES |
| 050074254 | Other | TN | MCRR |
| 3851898 | Medicaid | TN | |
| 100030563 | Other | TN | PHP TENNCARE |
| 3146471 | Other | TN | BLUECARE |
| 3146471 | Other | TN | BLUECROSS |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Douglas Hospital | Douglasville, GA | Hospital |
| Wellstar North Fulton Hospital | Roswell, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mak Anesthesia Holdings, Llc | 4284917204 | 169 |
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Piedmont Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407856594 PECOS PAC ID: 3577457183 Enrollment ID: O20040212000604 |
| Entity Name | Georgia Anesthesiologists, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740299197 PECOS PAC ID: 7315835063 Enrollment ID: O20040305000398 |
| 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 | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Entity Name | Mak Anesthesia Northside Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
| Entity Name | Piedmont Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
| Mailing Address | Practice Location Address |
|---|---|
| Loc B Pham, MD 531 Roselane St Nw Ste 830, Marietta, GA 30060-6979 Ph: (770) 794-0477 | Loc B Pham, MD 677 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 794-0477 |
Donald R Taylor, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 840 Church Street, Suite B, Marietta, GA 30060 Phone: 770-421-8080 Fax: 770-421-9566 | |
Ashkan Yazdanpanah, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 | |
Thomas M Adair, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 | |
Dr. William Shearin Jr., M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4048 Penhurst Dr, Marietta, GA 30062 Phone: 770-579-3650 | |
Alson Mercurius, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 | |
Morgan Larango, PA-AA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2540 Windy Hill Rd Se, Marietta, GA 30067 Phone: 470-644-1274 | |
Dr. Preeti Narayan, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 780 Canton Rd Ne Ste 330, Marietta, GA 30060 Phone: 678-325-1224 Fax: 678-379-4742 |