Mrs Diana Spock Adebulehin, PA-C in Decatur, GA - Medicare Physician Assistant

Mrs Diana Spock Adebulehin, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Decatur, Georgia. Her current practice location is 1014 Sycamore Dr, Ste. B, Decatur, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 299-1700.

Mrs Diana Spock Adebulehin is licensed to practice in Georgia (license number 004458) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700965159.

Contact Information

	Mrs Diana Spock Adebulehin, PA-C
	1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644
	(404) 299-1700
	(404) 299-1616

Provider's Profile

Full Name	Mrs Diana Spock Adebulehin
Gender	Female
Speciality	Physician Assistant - Surgical
Location	1014 Sycamore Dr, Decatur, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700965159
Provider Enumeration Date: 11/06/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 0143273649
Enrollment ID: I20051020000512

Medical Identifiers

Medical identifiers for Mrs Diana Spock Adebulehin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700965159	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	004458 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Diana Spock Adebulehin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Diana Spock Adebulehin, PA-C 200 Ivy Glen Cir, Avondale Estates, GA 30002-1766 Ph: (404) 550-5590	Mrs Diana Spock Adebulehin, PA-C 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 Ph: (404) 299-1700

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Physician Assistant Nurses in Decatur, GA

Mr. Ronald Gene Sanders Ii, RONALD SANDERS Physician Assistant Medicare: Medicare Enrolled Practice Location: 4325 Old Lake Dr, Decatur, GA 30034 Phone: 770-843-0929
Ms. Carol T Mcclendon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111
Rhea V Douglas, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1951 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-4600 Fax: 404-320-0987
Allyson Ashton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000
Mrs. Daviea Antoinette Taylor-hicks, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 250 N Arcadia Ave, Decatur, GA 30030 Phone: 404-321-6111 Fax: 404-417-2903
Amanda Singh, M.P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2675 N Decatur Rd, Decatur, GA 30033 Phone: 404-299-1678
Theresa Ann Johnson, PHD, MSHSA, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-417-1525

Mrs Diana Spock Adebulehin, PA-C - Medicare Physician Assistant in Decatur, GA