| Manuel Angel Colon-dejesus, MD | |
|
1057 Meridian Drive, Sneads Ferry, NC 28460 | |
| (678) 328-9539 | |
| Not Available |
| Full Name | Manuel Angel Colon-dejesus |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1057 Meridian Drive, Sneads Ferry, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083702427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 9812 (North Dakota) | Secondary |
| 207L00000X | Anesthesiology | 46838 (Georgia) | Primary |
| Entity Name | Floyd Healthcare Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689610149 PECOS PAC ID: 5193633386 Enrollment ID: O20040127000897 |
| Entity Name | Georgia Group Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093947236 PECOS PAC ID: 0840338018 Enrollment ID: O20091109000203 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel Angel Colon-dejesus, MD 1057 Meridian Drive, Sneads Ferry, NC 28460 Ph: (678) 328-9539 | Manuel Angel Colon-dejesus, MD 1057 Meridian Drive, Sneads Ferry, NC 28460 Ph: (678) 328-9539 |
Michael Emilio Compeggie, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1039 Meridian Dr, Sneads Ferry, NC 28460 Phone: 910-327-0878 |