| Ms Beth Ann Pendergraph, PA | |
|
1805 Vernon Rd, Suite B, Lagrange, GA 30240-3871 | |
| (706) 884-2691 | |
| (706) 845-7314 |
| Full Name | Ms Beth Ann Pendergraph |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 1805 Vernon Rd, Lagrange, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881723682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0048DO (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar West Georgia Medical Center | Lagrange, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Emory Clinic Inc | 8820901408 | 3507 |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Emory Specialty Associates, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Beth Ann Pendergraph, PA 127 Cove Hollow Rd, Fortson, GA 31808-4353 Ph: (678) 462-1977 | Ms Beth Ann Pendergraph, PA 1805 Vernon Rd, Suite B, Lagrange, GA 30240-3871 Ph: (706) 884-2691 |
Alex K Harris, PHD, PA-S Physician Assistant Medicare: Medicare Enrolled Practice Location: 1551 Doctors Dr, Lagrange, GA 30240 Phone: 706-884-2641 Fax: 706-884-2353 |
Samantha Denise Pollock, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1602 Vernon Rd Ste 300, Lagrange, GA 30240 Phone: 706-803-7510 |
Tina Le Tran, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 413 Lakeview Way, Lagrange, GA 30241 Phone: 404-647-3051 |
Mrs. Amanda Howington Ward, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 1605 Whitesville St, Lagrange, GA 30240 Phone: 706-882-5119 Fax: 706-882-0270 |
Stantafferta Mcphee Sparrow, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1075 Lafayette Pkwy Ste 200, Lagrange, GA 30241 Phone: 770-740-1860 Fax: 770-516-8768 |
Brandi B Daniel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Drive, Lagrange, GA 30240 Phone: 706-803-7450 Fax: 770-999-2818 |
Joseph Steiner, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 |