| Luke J Beno, MD | |
|
1175 Cascade Pkwy Sw, Pediatrics Health Care Team A, Atlanta, GA 30311-3090 | |
| (404) 505-4131 | |
| (404) 505-4183 |
| Full Name | Luke J Beno |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1175 Cascade Pkwy Sw, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194824003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 043548 (Georgia) | Primary |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Luke J Beno, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 364-7000 | Luke J Beno, MD 1175 Cascade Pkwy Sw, Pediatrics Health Care Team A, Atlanta, GA 30311-3090 Ph: (404) 505-4131 |
Dr. Joel A. Friedlander, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2220 N Druid Hills Rd Ne, Atlanta, GA 30329 Phone: 404-785-3020 | |
Dr. Seth Benjamin Marcus, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 993-d Johnson Ferry Rd Ne Suite 440, Atlanta, GA 30342 Phone: 404-257-0799 | |
Carrie Ng, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-785-7141 Fax: 404-785-7989 | |
Jacob A Humphrey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2174 N Druid Hills Rd Ne, Atlanta, GA 30329 Phone: 404-785-5437 | |
Dr. Bharath Srivatsa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5901 Peachtree Dunwoody Rd Ne, Suite B 420, Atlanta, GA 30328 Phone: 404-252-9751 Fax: 678-990-5763 | |
Michael Mallory, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 404-250-2972 | |
Briana Cary Patterson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2015 Uppergate Dr, Atlanta, GA 30322 Phone: 404-727-6721 |