| Margena Yvette Staten-branch, NP-C | |
|
2732 Candler Rd, Decatur, GA 30034-1410 | |
| (470) 444-3133 | |
| Not Available |
| Full Name | Margena Yvette Staten-branch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 2732 Candler Rd, Decatur, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639423916 | NPI | - | NPPES |
| 380687 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP4738 (Arizona) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | APRN-NP183730 (Georgia) | Primary |
| Entity Name | Iora Senior Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619376456 PECOS PAC ID: 0143520189 Enrollment ID: O20151124001666 |
| Mailing Address | Practice Location Address |
|---|---|
| Margena Yvette Staten-branch, NP-C Po Box 740015, Atlanta, GA 30374-0015 Ph: (312) 773-9730 | Margena Yvette Staten-branch, NP-C 2732 Candler Rd, Decatur, GA 30034-1410 Ph: (470) 444-3133 |
Antoinette Denise Gamble, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd., Decatur, GA 30033 Phone: 404-321-6111 | |
Tammy Vardeman Aguilar, RN, NNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 W Ponce De Leon Ave, Suite #242, Decatur, GA 30030 Phone: 404-778-7622 Fax: 404-778-7645 | |
Abdul Niazi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-294-3745 Fax: 404-294-3710 | |
Vivian S. Hayes, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd # 170c, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-235-3038 | |
Jessica Willis, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2722 N Decatur Rd, Decatur, GA 30033 Phone: 678-467-7598 | |
Ernest Leonard Gibson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2561 Captains Row, Decatur, GA 30035 Phone: 404-839-2886 | |
Mrs. Sarah Lowe Pederson, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Road, Decatur, GA 30033 Phone: 404-840-0908 |