| Myrna Gacusan, | |
|
6911 Tara Blvd, Jonesboro, GA 30236-1503 | |
| (770) 477-8573 | |
| (770) 477-8573 |
| Full Name | Myrna Gacusan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6911 Tara Blvd, Jonesboro, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174976088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 151283 (Georgia) | Primary |
| Entity Name | Infectious Disease Consultants PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225087745 PECOS PAC ID: 4587550298 Enrollment ID: O20040227000322 |
| Entity Name | Transitional Care Physicians of Georgia PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619317542 PECOS PAC ID: 4486895083 Enrollment ID: O20130724000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Myrna Gacusan, 4395 Abbotts Pointe Ct, Duluth, GA 30097-2199 Ph: Not Available | Myrna Gacusan, 6911 Tara Blvd, Jonesboro, GA 30236-1503 Ph: (770) 477-8573 |
Mrs. April D Joseph, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 236 Arrowhead Blvd, Jonesboro, GA 30236 Phone: 770-478-9240 |
Victoria Kelly Awuku, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1549 Iris Walk, Jonesboro, GA 30238 Phone: 470-209-3434 |
Phyllis A Kennedy-howell, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 239 Arrowhead Blvd, Jonesboro, GA 30236 Phone: 229-249-8687 Fax: 229-775-2223 |
Mrs. Mercy B Manga, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3649 Fax: 770-962-2400 |
Ms. Barbara R. Clark, APRN FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 962 Forest Gln, Jonesboro, GA 30238 Phone: 770-231-8568 Fax: 678-489-2348 |
Ms. Cristyle Lynn Morrison, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8773 Channing Dr, Jonesboro, GA 30238 Phone: 678-262-7190 |
Jana Elizabeth Yates, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7813 Spivey Station Blvd, Jonesboro, GA 30236 Phone: 770-268-6000 |