Dr Ali Mortazavi, DO | |
2041 Mesa Valley Way, Suite 100, Austell, GA 30106-8157 | |
(770) 944-1100 | |
(770) 944-6469 |
Full Name | Dr Ali Mortazavi |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 26 Years |
Location | 2041 Mesa Valley Way, Austell, 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 |
---|---|---|---|
1609863802 | NPI | - | NPPES |
234083867B | Medicaid | GA | |
234083867E | Medicaid | GA | |
234083867C | Medicaid | GA | |
234083867A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 054865 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Cobb Hospital | Austell, GA | Hospital |
Wellstar Douglas Hospital | Douglasville, GA | Hospital |
Wellstar Paulding Hospital | Hiram, GA | Hospital |
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Resurgens, Llc | 1153224142 | 148 |
Entity Name | Resurgens, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386697928 PECOS PAC ID: 1153224142 Enrollment ID: O20040128000595 |
Mailing Address | Practice Location Address |
---|---|
Dr Ali Mortazavi, DO 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-8157 Ph: (770) 944-1100 | Dr Ali Mortazavi, DO 2041 Mesa Valley Way, Suite 100, Austell, GA 30106-8157 Ph: (770) 944-1100 |
Richard Allen Boe Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2041 Mesa Valley Way Ste 100, Austell, GA 30106 Phone: 770-944-1100 | |
Dr. Keith A. Lamberson, M.D Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3672 Marathon Cir, Suite 200, Austell, GA 30106 Phone: 770-944-3303 Fax: 770-944-0285 | |
Dr. D Hodari Brooks, M.D Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1700 Hospital South Dr Ste 502, Austell, GA 30106 Phone: 943-202-7070 Fax: 470-986-7020 | |
Dr. Rafael V. Urrutia Jr., M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2041 Mesa Valley Way, Suite 100, Austell, GA 30106 Phone: 770-944-1100 Fax: 770-944-6469 | |
Sudhir Rama Belagaje, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3672 Marathon Cir, Suite 200, Austell, GA 30106 Phone: 770-944-3303 Fax: 770-944-0285 | |
Neil Jay Negrin, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3875 Austell Rd., Ste 201, Austell, GA 30106 Phone: 770-819-1777 Fax: 770-819-1730 | |
Dr. Scott G. Kleiman, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2041 Mesa Valley Way, Suite 100, Austell, GA 30106 Phone: 770-944-1100 Fax: 770-944-6469 |