| Michelle Diana Mon, MD | |
|
354 Newnan Crossing Byp Ste 210, Newnan, GA 30265-2323 | |
| (800) 991-6117 | |
| (888) 812-8191 |
| Full Name | Michelle Diana Mon |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 354 Newnan Crossing Byp Ste 210, Newnan, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639148703 | NPI | - | NPPES |
| 1724199 | Other | FL | CIGNA PROVIDER # |
| 276170000 | Medicaid | FL | |
| 53238 | Other | FL | BCBS PROVIDER # |
| 7453614 | Other | FL | AETNA PROVIDER # |
| CE7138 | Other | FL | MEDICARE GROUP |
| Entity Name | Iha Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Diana Mon, MD 3820 Northdale Blvd Ste 201, Tampa, FL 33624-1893 Ph: (800) 991-6117 | Michelle Diana Mon, MD 354 Newnan Crossing Byp Ste 210, Newnan, GA 30265-2323 Ph: (800) 991-6117 |
Gary Leonard Bernstein, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-400-6628 | |
Margaret Pringle Johnson, Surgery Medicare: Not Enrolled in Medicare Practice Location: 2201 Newnan Crossing Blvd E Ste 200, Newnan, GA 30265 Phone: 404-524-0095 | |
Joseph Henry Morris Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Poplar Rd Ste 260, Newnan, GA 30265 Phone: 770-502-2150 Fax: 770-502-2103 | |
Joseph W. Parks Iii, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 15 Cavender St, Newnan, GA 30263 Phone: 770-253-6616 Fax: 770-254-6185 | |
Kevin Wesley Davis, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 775 Poplar Rd, Suite 250, Newnan, GA 30265 Phone: 770-400-4610 Fax: 678-423-2739 | |
Dr. Kevin T Watkins, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-400-6000 | |
Clifford A. Cranford Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 775 Poplar Rd Ste 260, Newnan, GA 30265 Phone: 770-502-2150 |