| Mr Kevin T Lie, MD | |
|
3225 Cumberland Blvd Se Ste 520, Atlanta, GA 30339-6407 | |
| (678) 915-2000 | |
| (404) 868-3363 |
| Full Name | Mr Kevin T Lie |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 25 Years |
| Location | 3225 Cumberland Blvd Se Ste 520, Atlanta, 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 |
|---|---|---|---|
| 1659570455 | NPI | - | NPPES |
| 465114 | Other | OH | WELLCARE |
| 204881619259 | Other | OH | CARESOURCE |
| 003250880L | Medicaid | GA | |
| 1025726440001 | Medicaid | PA | |
| P00648554 | Other | OH | RAILROAD MEDICARE |
| 2788381 | Medicaid | OH |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Kennestone Regional Medical Center | Marietta, GA | Hospital |
| Wellstar Cobb Medical Center | Austell, GA | Hospital |
| Wellstar North Fulton Medical Center | Roswell, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atlanta Medical Clinic Of Midtown Llc | 8820444706 | 6 |
| Georgia Endovascular Associates Llc | 7517316268 | 4 |
| Entity Name | Piedmont Providers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
| Entity Name | Piedmont Cardiology of Atlanta, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275729691 PECOS PAC ID: 0345321691 Enrollment ID: O20080114000153 |
| Entity Name | Atlanta Medical Clinic of Midtown LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457130759 PECOS PAC ID: 8820444706 Enrollment ID: O20231030000288 |
| Entity Name | Georgia Endovascular Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073207007 PECOS PAC ID: 7517316268 Enrollment ID: O20231207000884 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin T Lie, MD 3225 Cumberland Blvd Se Ste 520, Atlanta, GA 30339-6407 Ph: (678) 915-2000 | Mr Kevin T Lie, MD 3225 Cumberland Blvd Se Ste 520, Atlanta, GA 30339-6407 Ph: (678) 915-2000 |
Omar Nabil Kallas, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1364 Clifton Road, Department Of Radiology And Imaging Sciences, Atlanta, GA 30322 Phone: 404-778-3900 |
Dr. Bijan Ghorashi, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 20 Glenlake Parkway, Kaiser Permanente Glenlake Medical, Atlanta, GA 30328 Phone: 404-365-0966 Fax: 606-666-6107 |
Dr. George Oren Atkinson Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: Emory University Hospital, 1364 Clifton Road, Ne, Atlanta, GA 30322 Phone: 404-785-6547 Fax: 404-785-1216 |
Dr. Fabio P Esteves, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1364 Clifton Rd Ne Radiology, Atlanta, GA 30322 Phone: 404-778-5586 |
Amy J Figueroa, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 404-851-8000 |
Debora Lou Coursey-prah, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1968 Peachtree Rd Nw, Radiology Department, Atlanta, GA 30309 Phone: 404-605-5000 |
Sachin Parikh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Breast Imaging Center, Winship C, Atlanta, GA 30322 Phone: 404-778-1856 Fax: 404-712-7561 |