| Ae Mary Vilayvong Irwin, NP | |
|
380 Hospital Dr Ste 320, Macon, GA 31217-8007 | |
| (478) 750-8606 | |
| Not Available |
| Full Name | Ae Mary Vilayvong Irwin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 380 Hospital Dr Ste 320, Macon, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306498605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN145963 (Georgia) | Primary |
| 207T00000X | Neurological Surgery | RN110412 (Georgia) | Secondary |
| 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 | Georgia Neurosurgical Institute, P.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972558336 PECOS PAC ID: 7517958234 Enrollment ID: O20040521000071 |
| Mailing Address | Practice Location Address |
|---|---|
| Ae Mary Vilayvong Irwin, NP 840 Pine St Ste 880, Macon, GA 31201-7525 Ph: (478) 743-7092 | Ae Mary Vilayvong Irwin, NP 380 Hospital Dr Ste 320, Macon, GA 31217-8007 Ph: (478) 750-8606 |
Michelle Renee Brown, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 655 1st St, Macon, GA 31201 Phone: 478-301-5930 Fax: 478-301-5932 |
Mrs. Jamie Lynn Harrelson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4061 Vineville Ave, Macon, GA 31210 Phone: 478-757-7345 |
Skylar Nelson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr Ste 200, Macon, GA 31217 Phone: 478-745-1191 |
Linda Denice Farrow, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Heath Pl Rd, Macon, GA 31220 Phone: 478-765-2010 |
Jo Beth Roberts, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-6706 Fax: 478-633-5384 |
Jennifer Johnson Slade, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 Hardeman Ave Ste B, Macon, GA 31201 Phone: 478-741-7337 |
Mrs. Lynn Davis Waits, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 College Station Dr, Macon, GA 31206 Phone: 478-471-2092 |