| Mr Igor Lacmanovic, MD | |
|
201 Hospital Rd, Canton, GA 30114-2408 | |
| (770) 720-5100 | |
| (404) 851-6325 |
| Full Name | Mr Igor Lacmanovic |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 31 Years |
| Location | 201 Hospital Rd, Canton, 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 |
|---|---|---|---|
| 1891849352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 045039 (Connecticut) | Secondary |
| 208M00000X | Hospitalist | 059814 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Cobb Hospital | Austell, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | 24 On Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912956251 PECOS PAC ID: 5698688141 Enrollment ID: O20031216000444 |
| Entity Name | North Atlanta Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Igor Lacmanovic, MD 201 Hospital Rd, Canton, GA 30114-2408 Ph: (770) 720-5100 | Mr Igor Lacmanovic, MD 201 Hospital Rd, Canton, GA 30114-2408 Ph: (770) 720-5100 |
Drake Christian Dehoff, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-224-1000 | |
Lindsey Hannah Panter, ACNP Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-224-2450 | |
Grant Herron Moody, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-224-1000 Fax: 770-224-2451 | |
Michael Anthony Martinelli, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-224-1388 Fax: 770-224-1386 | |
Syed Nabi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 201 Hospital Rd, Canton, GA 30114 Phone: 770-720-5100 Fax: 404-851-6325 | |
Dr. Rodrigo M Mancheno, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-224-1000 Fax: 770-224-2451 | |
Dr. Prashant V Patil, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 450 Northside Cherokee Blvd, Canton, GA 30115 Phone: 770-224-1000 |