| Neela R Bakane, MD | |
|
10160 Medlock Bridge Rd, Suie 100, Johns Creek, GA 30097-4419 | |
| (678) 387-1600 | |
| (678) 344-8600 |
| Full Name | Neela R Bakane |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 10160 Medlock Bridge Rd, Johns Creek, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811088842 | NPI | - | NPPES |
| 056973 | Other | GA | MEDICAL LISENCE |
| 010211131 | Other | VA | MEDICAID MEDALLION |
| 010211131 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 056973 (Georgia) | Primary |
| Entity Name | Reagan Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952316747 PECOS PAC ID: 6507779329 Enrollment ID: O20031107000573 |
| Mailing Address | Practice Location Address |
|---|---|
| Neela R Bakane, MD 2878 Five Forks Trickum Rd, Suite 2a, Lawrenceville, GA 30044-5896 Ph: (678) 344-8700 | Neela R Bakane, MD 10160 Medlock Bridge Rd, Suie 100, Johns Creek, GA 30097-4419 Ph: (678) 387-1600 |
Dr. Karen Nicole Duvall, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10475 Medlock Bridge Rd, Suite 815, Johns Creek, GA 30097 Phone: 678-990-4828 | |
Dr. Lisa Lillich Culpepper, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097 Phone: 770-497-1555 Fax: 770-497-9998 | |
Christian-jevon Bramwell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11459 Johns Creek Pkwy Ste 250, Johns Creek, GA 30097 Phone: 770-497-1555 | |
Dr. Henry Lawrence Gardiner Iii, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 11459 Johns Creek Pkwy, Suite 250, Johns Creek, GA 30097 Phone: 770-497-1555 Fax: 770-497-9998 | |
Eileen Dilks Tatum, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11315 Johns Creek Pkwy, Johns Creek, GA 30097 Phone: 770-709-6922 Fax: 770-709-6910 | |
Dr. Frank David Curvin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10680 Medlock Bridge Rd Ste 204, Johns Creek, GA 30097 Phone: 470-292-3820 Fax: 470-280-9511 | |
Dr. Eleisha Teasley Bell, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 11315 Johns Creek Pkwy Ste 340, Johns Creek, GA 30097 Phone: 770-709-6922 |