Dilani Weerasuriya, MD | |
677 Church St Ne, Marietta, GA 30060-1101 | |
(770) 793-7857 | |
(770) 793-7858 |
Full Name | Dilani Weerasuriya |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 677 Church St Ne, Marietta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295024768 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 070792 (Georgia) | Primary |
Entity Name | The Bortolazzo Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
Mailing Address | Practice Location Address |
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Dilani Weerasuriya, MD 425 Chapel St Sw, James B Williams Medical Education Building, Atlanta, GA 30313-1311 Ph: (478) 714-1162 | Dilani Weerasuriya, MD 677 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 793-7857 |
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 |