Carl C Capelouto, MD | |
470 Northside Cherokee Blvd Ste 201, Canton, GA 30115-8029 | |
(770) 720-7246 | |
(770) 720-4620 |
Full Name | Carl C Capelouto |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 36 Years |
Location | 470 Northside Cherokee Blvd Ste 201, Canton, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538277710 | NPI | - | NPPES |
340011822 | Other | GA | RAILROAD MEDICARE |
000708716E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 039541 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Cherokee | Canton, GA | Hospital |
Northside Hospital | Atlanta, GA | Hospital |
Northside Hospital Forsyth | Cumming, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Georgia Urology, Pa | 8921094376 | 71 |
Urological Professional Services, Llc | 9638391717 | 55 |
Entity Name | Georgia Urology, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245250646 PECOS PAC ID: 8921094376 Enrollment ID: O20040422000123 |
Entity Name | Urological Professional Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033521810 PECOS PAC ID: 9638391717 Enrollment ID: O20141104002579 |
Entity Name | Tift Regional Health System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881203305 PECOS PAC ID: 2062745169 Enrollment ID: O20200217002409 |
Mailing Address | Practice Location Address |
---|---|
Carl C Capelouto, MD 1930 Brannan Rd, Mcdonough, GA 30253-4310 Ph: (678) 284-4040 | Carl C Capelouto, MD 470 Northside Cherokee Blvd Ste 201, Canton, GA 30115-8029 Ph: (770) 720-7246 |
Mr. Vincent Daniel Dicarlo, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 470 Northside Cherokee Blvd Ste 201, Canton, GA 30115 Phone: 770-720-7246 Fax: 770-720-4620 | |
Wesley Warren Ludwig, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 145 Riverstone Ter Ste 101, Canton, GA 30114 Phone: 770-720-7246 | |
Dr. Yasin Bhanji, MD Urology Medicare: Medicare Enrolled Practice Location: 470 Northside Cherokee Blvd Ste 201, Canton, GA 30115 Phone: 770-720-7246 | |
Andrew Kenneth Ostrowski, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2205 Riverstone Blvd Ste 101, Canton, GA 30114 Phone: 678-344-8900 |