| Mr Daniel M Young, PA-C | |
|
2011 Commerce Dr N Ste 25, Peachtree City, GA 30269-3538 | |
| (844) 994-6633 | |
| (470) 235-1861 |
| Full Name | Mr Daniel M Young |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2011 Commerce Dr N Ste 25, Peachtree City, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134297575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 005016 (Georgia) | Primary |
| Entity Name | The Bortolazzo Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
| Entity Name | Coweta Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245556588 PECOS PAC ID: 5395876452 Enrollment ID: O20100706000634 |
| Entity Name | Georgia Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952746638 PECOS PAC ID: 4082853262 Enrollment ID: O20130619000316 |
| Entity Name | Gomed, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053706531 PECOS PAC ID: 9537425533 Enrollment ID: O20171107003590 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Daniel M Young, PA-C 2011 Commerce Dr N Ste 25, Peachtree City, GA 30269-3538 Ph: (844) 994-6633 | Mr Daniel M Young, PA-C 2011 Commerce Dr N Ste 25, Peachtree City, GA 30269-3538 Ph: (844) 994-6633 |
Ms. Patricia Duncan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 312 Crosstown Rd # 141, Peachtree City, GA 30269 Phone: 678-777-0158 Fax: 770-486-8007 |
Stephanie Terrell Henderson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 313 Revolution Dr, Peachtree City, GA 30269 Phone: 252-342-5772 |
Michael A Secor, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3000 Shakerag Hl, Peachtree City, GA 30269 Phone: 770-631-9999 Fax: 770-631-2415 |
Ty Quint, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1325 Commerce Dr Ste 200, Peachtree City, GA 30269 Phone: 678-542-0275 |
Ayanna Thomas-rentz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1280 Highway 74 S Ste E, Peachtree City, GA 30269 Phone: 678-961-5150 |
Kathryn Anne O'meara, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 112 Wilshire Village Dr, Peachtree City, GA 30269 Phone: 770-676-3376 |
Dennis Hoyt Boswell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1401 Georgian Park Ste 200, Peachtree City, GA 30269 Phone: 770-632-8909 |