| Kristofer Ryan Foreman, PA | |
|
304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | |
| (706) 509-5000 | |
| (706) 509-4608 |
| Full Name | Kristofer Ryan Foreman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 304 Turner Mccall Blvd Sw, Rome, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467466946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 003756 (Georgia) | Primary |
| Entity Name | Northside Emergency Associates, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285686303 PECOS PAC ID: 9335135144 Enrollment ID: O20040426000165 |
| Entity Name | Gordon Emergency Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205290467 PECOS PAC ID: 6406149400 Enrollment ID: O20160728001627 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristofer Ryan Foreman, PA 420 E 2nd Ave, Suite 103, Rome, GA 30161-3224 Ph: (706) 509-3278 | Kristofer Ryan Foreman, PA 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 Ph: (706) 509-5000 |
Mr. Michael L White, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1825 Martha Berry Blvd Nw, Rome, GA 30165 Phone: 706-238-8073 Fax: 706-238-8081 |
Benjamin Rooke, AA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-509-5000 |
Lauren Hudson Hatcher, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 909 N 5th Avenue Ne, Rome, GA 30165 Phone: 706-252-8117 Fax: 706-252-8118 |
James E Brown Jr., Physician Assistant Medicare: Medicare Enrolled Practice Location: 5 Carrington Pl Ne, Rome, GA 30161 Phone: 706-969-6214 |
Emma Fairlie Teal, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-509-5000 |
Mr. Andrew Sherman Wesley Harper, MMSC, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Three Rivers Dr Ne Ste A, Rome, GA 30161 Phone: 706-528-9024 Fax: 706-528-9039 |
Kareem Joshua George Cole, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1825 Martha Berry Blvd Nw, Rome, GA 30165 Phone: 762-235-2100 Fax: 706-236-6432 |