| Mr Kevin Franklin Bourquine, PA | |
|
235 Peachtree St Ne, North Tower, Suite 2100, Atlanta, GA 30303-1401 | |
| (770) 994-9326 | |
| (770) 994-4747 |
| Full Name | Mr Kevin Franklin Bourquine |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 235 Peachtree St Ne, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871808931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 005876 (Georgia) | Primary |
| Entity Name | Emerginet, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164480869 PECOS PAC ID: 4082515853 Enrollment ID: O20040115000322 |
| Entity Name | Emerginet Henry, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811946627 PECOS PAC ID: 4981594900 Enrollment ID: O20040316000137 |
| 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 | Parrott Medical Clinic PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912138116 PECOS PAC ID: 1153467238 Enrollment ID: O20091002000231 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin Franklin Bourquine, PA 235 Peachtree St Ne, North Tower, Suite 2100, Atlanta, GA 30303-1401 Ph: (770) 994-9326 | Mr Kevin Franklin Bourquine, PA 235 Peachtree St Ne, North Tower, Suite 2100, Atlanta, GA 30303-1401 Ph: (770) 994-9326 |
Chhaya J Gandhi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Suite A 4325, Atlanta, GA 30322 Phone: 404-778-3914 |
Miss Sheila Mahsa Dini, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1185, Atlanta, GA 30308 Phone: 404-223-0792 Fax: 404-223-5815 |
Dacenta Grice, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309 Phone: 404-231-4431 Fax: 404-231-5677 |
Heather Rose Van Duys, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1600, Atlanta, GA 30308 Phone: 404-881-1094 Fax: 404-874-1249 |
Ruth Flaherty, CCC-SLP Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1364 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-712-2000 |
Kristen Swain, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 691 14th St Nw Ste E, Atlanta, GA 30318 Phone: 404-816-7900 |
Ms. Nives Keran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-1900 |