| Jessica Ebong, PA-C | |
|
148 Bill Carruth Pkwy, Hiram, GA 30141-3754 | |
| (470) 610-0145 | |
| Not Available |
| Full Name | Jessica Ebong |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 148 Bill Carruth Pkwy, Hiram, 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 |
|---|---|---|---|
| 1689406597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 7667 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Paulding Medical Center | Hiram, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 3059 |
| Entity Name | Wellstar Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Ebong, PA-C 8901 Stonebridge Blvd Ste 200, Douglasville, GA 30134-2254 Ph: Not Available | Jessica Ebong, PA-C 148 Bill Carruth Pkwy, Hiram, GA 30141-3754 Ph: (470) 610-0145 |
Brittany Park Jeffers, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy Ste 180, Hiram, GA 30141 Phone: 770-445-4915 |
Sarah Forrestal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy Ste 120, Hiram, GA 30141 Phone: 770-445-5666 |
Blake Anthony Landry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy Ste 100, Hiram, GA 30141 Phone: 770-422-1372 Fax: 678-363-5170 |
Manogna Puchhalapalli, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141 Phone: 678-363-1940 |
Mr. Daniel Marc Toubiana, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141 Phone: 678-331-3240 Fax: 678-385-4594 |
Emily Rose Smith, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 148 Bill Carruth Pkwy Ste 120, Hiram, GA 30141 Phone: 943-202-7010 |
Anahid A Ebrahimi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 144 Bill Carruth Pkwy, Suite 3600, Hiram, GA 30141 Phone: 678-486-5500 Fax: 678-486-5502 |