| Mr Robert W Klassen, MD | |
|
100 Spring St, Gainesville, GA 30501 | |
| (770) 532-3700 | |
| (770) 532-0059 |
| Full Name | Mr Robert W Klassen |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 100 Spring St, Gainesville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104926377 | NPI | - | NPPES |
| 00489244C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 034385 (Georgia) | Primary |
| Entity Name | Creative Hospice Care, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437897956 PECOS PAC ID: 6305942616 Enrollment ID: O20220726002864 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert W Klassen, MD Po Box 907217, 100 Spring St, Gainesville, GA 30501 Ph: (770) 532-3700 | Mr Robert W Klassen, MD 100 Spring St, Gainesville, GA 30501 Ph: (770) 532-3700 |
Dr. Carlos Castilo Tan, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3 Washington Ave, Gainesville, GA 30501 Phone: 770-503-0221 Fax: 770-503-0023 | |
Miss Christine Oleg Sykalo, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne Ste 710, Gainesville, GA 30501 Phone: 770-219-8730 | |
Jason Burch, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 8855 Bethel Rd, Gainesville, GA 30506 Phone: 518-232-8993 | |
Rodolfo Bartolome Carrillo Sr., MD General Practice Medicare: Medicare Enrolled Practice Location: 420 Broad St Se, Gainesville, GA 30501 Phone: 770-536-8885 Fax: 770-536-8725 | |
Alexander Juston Santos, DO General Practice Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8730 | |
Muhammad Mufty, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 |