Dr David T Derrer, MD | |
4550 Cobb Parkway North Nw Ste 101, Acworth, GA 30101 | |
(470) 956-0100 | |
(770) 529-0279 |
Full Name | Dr David T Derrer |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 24 Years |
Location | 4550 Cobb Parkway North Nw Ste 101, Acworth, 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 |
---|---|---|---|
1659378412 | NPI | - | NPPES |
054181 | Other | GA | GEORGIA MEDICAL LICENSE # |
015928 | Other | GA | BLUE CROSS/BLUE SHIELD # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 054181 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Dr David T Derrer, MD 805 Sandy Plains Road, Medical Staff Services, Marietta, GA 30066-6340 Ph: () - | Dr David T Derrer, MD 4550 Cobb Parkway North Nw Ste 101, Acworth, GA 30101 Ph: (470) 956-0100 |
Jacquelyn Cheatham-terry, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4550 Cobb Parkway North Nw Ste 201a, Acworth, GA 30101 Phone: 770-974-4655 Fax: 770-974-1970 | |
Dr. Edward A. Lloyd, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4791 S Main St, Acworth, GA 30101 Phone: 770-422-1400 Fax: 770-422-2340 | |
Dr. Mark D Salsberry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2487 Cedarcrest Rd, Suite 714, Acworth, GA 30101 Phone: 678-224-5730 Fax: 770-693-7186 | |
Dr. Kristine Aura Ortega-fonte, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4791 S Main St Ste 100, Acworth, GA 30101 Phone: 404-251-1600 | |
Dr. Harnish Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4465 Lemon St, Acworth, GA 30101 Phone: 770-529-7478 Fax: 770-529-7458 | |
John N Murimi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4900 Ivey Rd Nw, Suite 1301, Acworth, GA 30101 Phone: 770-974-4655 Fax: 770-974-1970 | |
Dr. Sandeep Dhaliwal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1685 Mars Hill Rd Nw Ste 201, Acworth, GA 30101 Phone: 770-485-0031 Fax: 678-903-4137 |