Marc Ean Yune, MD
Individual provider Active NPI Specialist · Roswell, GA
NPI 1215975974 · NPPES record last updated Apr 17, 2019
Key facts
- NPI
- 1215975974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 041395 (GA)
- Practice address
- 1825 Old Alabama Rd Ste 201
Roswell, GA 30076-2258 - Phone
- (770) 393-9000
- Fax
- (770) 393-9006
- NPI assigned
- Jun 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- Indiana University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1825 Old Alabama Rd
Suite 201
Roswell, GA 30076-2258
Phone 7703939000107
2001 Linger Longer Rd
Greensboro, GA 30642-4917
Phone (770) 393-9000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060620000007 | GA | Practitioner - Plastic and Reconstructive Surgery |
6103836002 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041395 | GA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aesthetic Specialty Centre, PC | Specialist | Current |
Accepting new patients |
Locations
2001 Linger Longer Rd
Greensboro, GA 30642
Phone (770) 393-9000
1825 Old Alabama Rd
Ste 201
Roswell, GA 30076
Phone (770) 393-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 041395 | GA | Yes |
Addresses
Primary practice location
1825 Old Alabama Rd Ste 201
Roswell, GA 30076-2258
Mailing address
1825 Old Alabama Road
Suite 201
Roswell, GA 30076-2258
Phone (770) 393-9000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041395 | Other | GA | MEDICAL LICENSE |
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.