| Premier Podiatry-east Cobb | |
|
1200 Johnson Ferry Rd Ste 150, Marietta, GA 30068-5403 | |
| (770) 693-0700 | |
| (770) 971-9822 |
| Full Name | Premier Podiatry-east Cobb |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1200 Johnson Ferry Rd Ste 150, Marietta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396000279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (Georgia) | Primary |
| Provider Name | Irene Cristina Verlezza |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578856902 PECOS PAC ID: 5395965933 Enrollment ID: I20141003000339 |
| Provider Name | Trevor R Beach |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1790072247 PECOS PAC ID: 8426272048 Enrollment ID: I20150609002031 |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Podiatry-east Cobb 1200 Johnson Ferry Rd Ste 150, Marietta, GA 30068-5403 Ph: (770) 693-0700 | Premier Podiatry-east Cobb 1200 Johnson Ferry Rd Ste 150, Marietta, GA 30068-5403 Ph: (770) 693-0700 |
Dr. Joseph Distefano, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3325 Shallowford Rd Ste 200, Marietta, GA 30062 Phone: 770-999-0804 | |
Jihae Kim, Podiatrist Medicare: Medicare Enrolled Practice Location: 1075 Whitlock Ave Sw Ste I, Marietta, GA 30064 Phone: 404-435-0718 Fax: 404-941-9543 | |
Choice Podiatry Center, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 540 Powder Springs St Ste B6, Marietta, GA 30064 Phone: 770-702-8723 Fax: 770-702-8723 | |
Robert I Heden, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4439 Roswell Rd, Marietta, GA 30062 Phone: 770-977-8221 Fax: 770-977-8222 | |
Choice Podiatry Center, Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 540 Powder Springs St Ste B6, Marietta, GA 30064 Phone: 770-702-8723 Fax: 707-702-8809 | |
Village Podiatry Group, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3515 Dallas Hwy Sw, Marietta, GA 30064 Phone: 770-499-0080 Fax: 770-499-0570 | |
John Andrew Martucci, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 120 Vann St Ne Ste 100, Marietta, GA 30060 Phone: 678-679-5234 Fax: 770-218-8135 |