Anit S Vettukattil, MD | |
4450 Calibre Xing Nw Ste 1110, Acworth, GA 30101-4104 | |
(770) 924-9656 | |
(770) 966-7288 |
Full Name | Anit S Vettukattil |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 19 Years |
Location | 4450 Calibre Xing Nw Ste 1110, Acworth, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487894069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD13956 (Rhode Island) | Secondary |
208600000X | Surgery | 36215 (South Carolina) | Secondary |
208600000X | Surgery | 93796 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Cherokee | Canton, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northside Surgical Professional Services Llc | 8628253424 | 272 |
Entity Name | Northside Surgical Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 |
Mailing Address | Practice Location Address |
---|---|
Anit S Vettukattil, MD 4450 Calibre Xing Nw Ste 1110, Acworth, GA 30101-4104 Ph: (770) 924-9656 | Anit S Vettukattil, MD 4450 Calibre Xing Nw Ste 1110, Acworth, GA 30101-4104 Ph: (770) 924-9656 |
Andre Gentry, CSA Surgery Medicare: Not Enrolled in Medicare Practice Location: 217 Brookhaven Ct, Acworth, GA 30102 Phone: 770-985-4257 Fax: 770-985-4258 | |
Mr. Carlos Alberto Escobar, NP-C Surgery Medicare: Not Enrolled in Medicare Practice Location: 6460 Highway 92, Ste 200, Acworth, GA 30102 Phone: 770-880-4517 | |
Georgette Anthony, Surgery Medicare: Not Enrolled in Medicare Practice Location: 5116 Verbena Dr Nw, Acworth, GA 30102 Phone: 770-630-8997 Fax: 770-926-6510 | |
Henry John Zielinski, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5825 Brookstone Walk Nw, Acworth, GA 30101 Phone: 770-597-0045 | |
Daniel Judah Holtz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4550 Cobb Parkway North Nw, Suite #309b, Acworth, GA 30101 Phone: 770-917-6795 Fax: 770-529-9077 |