| Benita Nannette Hamilton, PA-C | |
|
500 Nathan Dean Blvd Ste 105, Dallas, GA 30157-4911 | |
| (470) 624-6792 | |
| (470) 202-1026 |
| Full Name | Benita Nannette Hamilton |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 29 Years |
| Location | 500 Nathan Dean Blvd Ste 105, Dallas, 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 |
|---|---|---|---|
| 1780775486 | NPI | - | NPPES |
| 00355931 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 005769-1 (New York) | Secondary |
| 363A00000X | Physician Assistant | 12130 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstreet Of Georgia Pc | 7517126279 | 440 |
| Mailing Address | Practice Location Address |
|---|---|
| Benita Nannette Hamilton, PA-C 4764 Spruce Way Sw, South Fulton, GA 30331-7540 Ph: (845) 551-4229 | Benita Nannette Hamilton, PA-C 500 Nathan Dean Blvd Ste 105, Dallas, GA 30157-4911 Ph: (470) 624-6792 |
Kelly Elizabeth Decker, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10175 Dallas Acworth Hwy Ste 103-14, Dallas, GA 30132 Phone: 678-481-1647 Fax: 770-336-6620 | |
Mary K Rau, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 49 Hosiery Mill Rd, 124, Dallas, GA 30157 Phone: 770-443-6111 | |
Edwige Michel, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1068 Merchants Dr Apt 424, Dallas, GA 30132 Phone: 706-784-3032 | |
Bridgette Denise Wokal, CST Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10175 Dallas Acworth Hwy Ste 103-14, Dallas, GA 30132 Phone: 678-481-1647 Fax: 770-336-6620 | |
Mr. Chad Stough, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2713 Marietta Highway, Suite 122, Dallas, GA 30157 Phone: 770-505-3162 Fax: 770-948-9126 | |
Mr. Mark David Roman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 225 Mary Wallace Way, Dallas, GA 30157 Phone: 770-608-3302 | |
Morgan Elise Benson Baker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 49 Hosiery Mill Rd Ste 124, Dallas, GA 30157 Phone: 770-443-6111 |