Dakotah Rose Forell, | |
667 Church St Ne, Marietta, GA 30060-1101 | |
(770) 793-5000 | |
Not Available |
Full Name | Dakotah Rose Forell |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 5 Years |
Location | 667 Church St Ne, Marietta, 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 |
---|---|---|---|
1235692146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2904 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Decatur Morgan Hospital - Decatur Campus | Decatur, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Decatur Morgan Emergency Medicine | 0446680862 | 23 |
Entity Name | Decatur Morgan Emergency Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316571615 PECOS PAC ID: 0446680862 Enrollment ID: O20200424001929 |
Mailing Address | Practice Location Address |
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Dakotah Rose Forell, 667 Church St Ne, Marietta, GA 30060-1101 Ph: () - | Dakotah Rose Forell, 667 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 793-5000 |
Keri Leigh Seamon, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 677 Church Street, Attn: Gme, Marietta, GA 30060 Phone: 678-850-6212 | |
Joseph J Braintwain, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1121 Johnson Ferry Rd, Suite 100, Marietta, GA 30068 Phone: 770-509-1025 | |
Dr. Rakesh Rasiklal Shah, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 Oak Forest Circle, Marietta, GA 30062 Phone: 404-697-5625 Fax: 888-669-9073 | |
Michelle Elizabeth Dehaven, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 115 Cherry St Ne, Marietta, GA 30060 Phone: 770-793-5700 | |
William E Richardson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 950 Cobb Pkwy S, #191, Marietta, GA 30060 Phone: 770-419-4471 Fax: 770-419-4473 | |
Patrick Kamba, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5000 | |
Marianne Taryla, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 61 Whitcher St Ne, Suite 2150, Marietta, GA 30060 Phone: 770-422-4268 |