Eagle Medical Center - Medicare Primary Care in Roswell, GA

Eagle Medical Center is a medicare enrolled primary clinic (General Practice) in Roswell, Georgia. The current practice location for Eagle Medical Center is 804 Bombay Ln, Roswell, Georgia. For appointments, you can reach them via phone at (770) 754-9880. The mailing address for Eagle Medical Center is 804 Bombay Ln, Roswell, Georgia and phone number is () -.

Eagle Medical Center is licensed to practice in Georgia (license number 058478). The clinic also participates in the medicare program and its NPI number is 1073810453. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (770) 754-9880.

Contact Information

Eagle Medical Center
804 Bombay Ln
Roswell
GA 30076-5819
(770) 754-9880
(770) 754-9881

Primary Care Clinic Profile

Full NameEagle Medical Center
SpecialityGeneral Practice
Location804 Bombay Ln, Roswell, Georgia
Authorized Official Name and PositionKimberly Green (PHYSICIAN)
Authorized Official Contact7707549880
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Eagle Medical Center
804 Bombay Ln
Roswell
GA 30076-5819

Ph: () -
Eagle Medical Center
804 Bombay Ln
Roswell
GA 30076-5819

Ph: (770) 754-9880

NPI Details:

NPI Number1073810453
Provider Enumeration Date02/19/2011
Last Update Date02/19/2011

Medicare PECOS Information:

Medicare PECOS PAC ID6507047636
Medicare Enrollment IDO20110223000389

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Medical Identifiers

Medical identifiers for Eagle Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073810453NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 058478 (Georgia)Primary
208VP0000XPain Medicine - Pain Medicine 058478 (Georgia)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Eagle Medical Center acts as a billing entity for following providers:
Provider NameKimberly J Green
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1720174873
PECOS PAC ID: 7719987296
Enrollment ID: I20070106000109

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