| Jayson B Phelps, DPM | |
|
135 Lee Byrd Rd, Loganville, GA 30052-2310 | |
| (678) 639-4209 | |
| (678) 639-4210 |
| Full Name | Jayson B Phelps |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 21 Years |
| Location | 135 Lee Byrd Rd, Loganville, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851362644 | NPI | - | NPPES |
| 581994261 | Other | GA | UNITED HEALTHCARE |
| 829746724O | Medicaid | GA | |
| 10042144 | Medicaid | GA | |
| 7595720 | Other | GA | AETNA |
| 322061 | Medicaid | GA | |
| 2701740 | Other | GA | EVERCARE |
| 829746724A | Medicaid | GA | |
| 829746724B | Medicaid | GA | |
| 82974624A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | POD001006 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastside Medical Center | Snellville, GA | Hospital |
| Provider Name | Loganville Foot And Ankle Medicine, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588821318 PECOS PAC ID: 3870663693 Enrollment ID: O20080605000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Jayson B Phelps, DPM 135 Lee Byrd Rd, Loganville, GA 30052-2310 Ph: (678) 639-4209 | Jayson B Phelps, DPM 135 Lee Byrd Rd, Loganville, GA 30052-2310 Ph: (678) 639-4209 |
Loganville Foot And Ankle Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3529 Highway 81, Loganville, GA 30052 Phone: 678-639-4209 Fax: 678-639-4210 | |
Loganville Foot And Ankle Medicine Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 135 Lee Byrd Rd, Loganville, GA 30052 Phone: 678-639-4209 Fax: 678-639-4210 |