| Trista Jacinta Marshall, MD | |
|
3351 Northside Dr, Macon, GA 31210-2587 | |
| (478) 201-6500 | |
| Not Available |
| Full Name | Trista Jacinta Marshall |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 17 Years |
| Location | 3351 Northside Dr, Macon, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346484763 | NPI | - | NPPES |
| 068927 | Other | GA | GA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 068927 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Navicent Home Health | Macon, GA | Home health agency |
| Medical Center, Navicent Health (the) | Macon, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Georgia Rehabilitation | 7012914310 | 16 |
| Health Services Of Central Georgia | 9638076730 | 235 |
| Entity Name | Health Services Of Central Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184679482 PECOS PAC ID: 9638076730 Enrollment ID: O20031217000270 |
| Entity Name | Central Georgia Rehabilitation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366450710 PECOS PAC ID: 7012914310 Enrollment ID: O20110524000804 |
| Entity Name | Community Primary Care Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336492511 PECOS PAC ID: 0648421065 Enrollment ID: O20121113000274 |
| Mailing Address | Practice Location Address |
|---|---|
| Trista Jacinta Marshall, MD 3022 Castlewoods Dr, Macon, GA 31204-1474 Ph: (478) 361-2822 | Trista Jacinta Marshall, MD 3351 Northside Dr, Macon, GA 31210-2587 Ph: (478) 201-6500 |
Dr. Dwayne Lee Clay, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6010 Lakeside Commons Dr, Suite A, Macon, GA 31210 Phone: 478-475-9220 Fax: 478-475-9201 | |
Mr. Cody Douglas Partin, MS, ATC, LAT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1501 Mercer University Dr, Macon, GA 31207 Phone: 783-012-7464 | |
Victoria T Mansour, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3312 Northside Dr Ste A110, Macon, GA 31210 Phone: 478-477-2314 Fax: 478-477-3599 | |
Ahmed Yousef, PT, PHD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1445 Georgia Ave, Suite I, Macon, GA 31201 Phone: 478-742-0904 Fax: 478-743-2651 | |
Tiquella Shantel King-whitby, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 685 Arlington Pl, Macon, GA 31201 Phone: 478-292-2060 | |
Sameria Robinson, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 111 Providence Blvd, Macon, GA 31210 Phone: 478-250-9154 |