| Mr Matthew Elijah Ilao, FNP-C | |
|
433 Highland Pkwy, East Ellijay, GA 30540-7656 | |
| (770) 737-2803 | |
| Not Available |
| Full Name | Mr Matthew Elijah Ilao |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 433 Highland Pkwy, East Ellijay, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255037701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 286403 (Georgia) | Primary |
| Entity Name | Medical Associates Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083041867 PECOS PAC ID: 1355578485 Enrollment ID: O20131218000364 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew Elijah Ilao, FNP-C 467 Arrowhead Dr, Dallas, GA 30132-9477 Ph: (770) 685-9704 | Mr Matthew Elijah Ilao, FNP-C 433 Highland Pkwy, East Ellijay, GA 30540-7656 Ph: (770) 737-2803 |
Dara Carroll, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 Highland Xing S, East Ellijay, GA 30540 Phone: 706-273-1954 | |
Lesa Parker, MS, ARPN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 772 Maddox Dr Ste 122, East Ellijay, GA 30540 Phone: 706-635-6898 | |
Mrs. Kristin Hunter, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 433 Highland Pkwy Ste 201, East Ellijay, GA 30540 Phone: 706-276-7350 | |
Meghan Anne Monsrud, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 174 Highland Xing S, East Ellijay, GA 30540 Phone: 706-635-1400 | |
Schneida Goodman-bell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 Highland Xing S, East Ellijay, GA 30540 Phone: 706-273-1954 | |
Nicole Penland Bond, APRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 174 Highland Crossing East, East Ellijay, GA 30540 Phone: 706-635-1400 Fax: 706-635-1411 |