| Mr Joseph Daniel Chavez, | |
|
24 Palmer Dr Nw, Rome, GA 30165-9515 | |
| (310) 733-6438 | |
| Not Available |
| Full Name | Mr Joseph Daniel Chavez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 24 Palmer Dr Nw, 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 |
|---|---|---|---|
| 1598413262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 11371 (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 | Houston County Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013338193 PECOS PAC ID: 2264663756 Enrollment ID: O20140326001461 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Joseph Daniel Chavez, 24 Palmer Dr Nw, Rome, GA 30165-9515 Ph: Not Available | Mr Joseph Daniel Chavez, 24 Palmer Dr Nw, Rome, GA 30165-9515 Ph: (310) 733-6438 |
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 |
Nyla Lieu James, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-509-5000 |
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 |