Dr Andrew Paul Barak, DO | |
6130 Prestley Mill Rd Ste C, Douglasville, GA 30134-2288 | |
(678) 838-3903 | |
(678) 838-7454 |
Full Name | Dr Andrew Paul Barak |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 46 Years |
Location | 6130 Prestley Mill Rd Ste C, Douglasville, 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 |
---|---|---|---|
1508824152 | NPI | - | NPPES |
003126984D | Medicaid | GA | |
2121408 | Medicaid | MI | |
0454110994 | Other | MI | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | AB007458 (Michigan) | Secondary |
207Y00000X | Otolaryngology | 67354 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Douglas Hospital | Douglasville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ear, Nose And Throat Plastic Surgery Center | 2961497318 | 3 |
Northside Surgical Professional Services Llc | 8628253424 | 272 |
Entity Name | Ear, Nose & Throat Plastic Surgery Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821163577 PECOS PAC ID: 2961497318 Enrollment ID: O20040416000186 |
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 |
---|---|
Dr Andrew Paul Barak, DO 2323 E Paris Ave Se, Ste 102, Grand Rapids, MI 49546-2414 Ph: (616) 285-3733 | Dr Andrew Paul Barak, DO 6130 Prestley Mill Rd Ste C, Douglasville, GA 30134-2288 Ph: (678) 838-3903 |
Dr. Neil A Persaud, D.O Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6130 Prestley Mill Rd Ste C, Douglasville, GA 30134 Phone: 678-838-3903 Fax: 678-838-7454 | |
John Nino, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6002 Professional Pkwy, Suite 100, Douglasville, GA 30134 Phone: 770-949-4200 Fax: 770-949-5553 | |
Dr. Vivek Kumar Gupta, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6002 Professional Parkway, Suite 100, Douglasville, GA 30134 Phone: 770-949-4200 Fax: 770-949-5553 | |
Dr. Jahmal A Hairston, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6130 Prestley Mill Rd Ste C, Douglasville, GA 30134 Phone: 678-838-3903 Fax: 678-838-7454 |