| Mark Russell Ling, MD, PHD | |
|
710 Newnan Crossing Bypass, Suite A, Newnan, GA 30263-2321 | |
| (770) 251-5111 | |
| (770) 254-8680 |
| Full Name | Mark Russell Ling |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 41 Years |
| Location | 710 Newnan Crossing Bypass, Newnan, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639153638 | NPI | - | NPPES |
| 4279563008 | Other | GA | CIGNA HMO |
| 0390142 | Other | GA | UHC |
| 070012632 | Other | GA | RAIL ROAD MEDICARE |
| 2117569 | Other | GA | AETNA HMO |
| 00469246C | Medicaid | GA | |
| 4318069 | Other | GA | AETNA NON-HMO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 034647 (Georgia) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 034647 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Epiphany Dermatology Of Georgia, Llc | 6800798182 | 21 |
| Entity Name | Epiphany Dermatology Of Georgia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265544357 PECOS PAC ID: 6800798182 Enrollment ID: O20040126000887 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Russell Ling, MD, PHD 7300 Ranch Road 2222, Building 1, Ste 200, Austin, TX 78730 Ph: (512) 628-0465 | Mark Russell Ling, MD, PHD 710 Newnan Crossing Bypass, Suite A, Newnan, GA 30263-2321 Ph: (770) 251-5111 |
Jessica Thames Heath, FNP-C Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1615 Highway 34 E Ste B, Newnan, GA 30265 Phone: 770-400-8400 Fax: 770-666-2461 | |
Steven Mitchell Marcet, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 710 Newnan Crossing Bypass, Suite A, Newnan, GA 30263 Phone: 770-251-5111 Fax: 770-254-8680 | |
Dr. David T Harvey, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1615 Highway 34 E Ste B, Newnan, GA 30265 Phone: 770-400-8400 Fax: 770-400-8401 | |
Mark Jay Holzberg, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 710 Newnan Crossing Bypass, Suite A, Newnan, GA 30263 Phone: 770-251-5111 Fax: 770-254-8680 | |
Dr. Joseph Dyer, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 710 Newnan Crossing Byp Ste A, Newnan, GA 30263 Phone: 770-251-5111 Fax: 770-254-8680 |