| Marisa Chavez, MD | |
|
2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 | |
| (770) 603-3634 | |
| Not Available |
| Full Name | Marisa Chavez |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 18 Years |
| Location | 2400 Mount Zion Pkwy, Jonesboro, 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 |
|---|---|---|---|
| 1932344207 | NPI | - | NPPES |
| 003114009D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | A106212 (California) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 066008 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Southeast Permanente Medical Group | 6204829013 | 658 |
| Entity Name | Morehouse Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801832324 PECOS PAC ID: 6002701273 Enrollment ID: O20040217000570 |
| 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 |
|---|---|
| Marisa Chavez, MD 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 Ph: (770) 603-3634 | Marisa Chavez, MD 2400 Mount Zion Pkwy, Jonesboro, GA 30236-2500 Ph: (770) 603-3634 |
Sholah P Pittman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 Phone: 770-603-3649 | |
Linda R Myrick, CNP Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2400 Mount Zion Parkway, Department Of Obstetrics And Gynecology, Jonesboro, GA 30236 Phone: 404-364-7000 | |
Karanvir S Virk, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2400 Mt Zion Parkway, Jonesboro, GA 30236 Phone: 770-603-4217 Fax: 770-603-4218 | |
Ms. Docile Donna Aguirre Saguan, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3668 | |
Dr. Jonathan Fitzgerald Hill Jr., M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2400 Mount Zion Pkwy Dept Of, Jonesboro, GA 30236 Phone: 800-611-1811 | |
Sandra Dee Smith, CNM Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2400 Mount Zion Parkway, Department Of Obstetrics & Gynecology, Jonesboro, GA 30236 Phone: 404-364-7000 | |
Ms. Ericka Camille Gibson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 Phone: 770-603-3649 Fax: 202-448-1620 |