Dr Dennis E Disantis, MD | |
2675 N Decatur Rd, Suite 506, Decatur, GA 30033-6131 | |
(404) 299-1679 | |
(404) 508-7694 |
Full Name | Dr Dennis E Disantis |
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Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 2675 N Decatur Rd, Decatur, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437193513 | NPI | - | NPPES |
00110162A | Medicaid | GA | |
582322161 | Other | GA | FEDERAL TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 018138 (Georgia) | Primary |
Entity Name | Dekalb Gastroenterology Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508985425 PECOS PAC ID: 0749257525 Enrollment ID: O20040913000019 |
Mailing Address | Practice Location Address |
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Dr Dennis E Disantis, MD 2675 N Decatur Rd, Suite 506, Decatur, GA 30033-6131 Ph: (404) 299-1679 | Dr Dennis E Disantis, MD 2675 N Decatur Rd, Suite 506, Decatur, GA 30033-6131 Ph: (404) 299-1679 |
Dr. Ned Wilson Holland, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Vamc - 11b, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-728-4703 | |
Cedrella Carol Jones-taylor, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Primary Care, Decatur, GA 30033 Phone: 404-321-6111 | |
Dr. Gary Robert Botstein, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 2712 N Decatur Rd, Decatur, GA 30033 Phone: 404-299-0187 Fax: 404-292-2766 | |
Priti Rajnikant Patel, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Road, Primary Care, Decatur, GA 30033 Phone: 404-321-6111 | |
John Oliga, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 4153b Flat Shoals Pkwy, Ste 200, Decatur, GA 30034 Phone: 404-585-5049 Fax: 404-591-0292 | |
Dr. Pojnicha Mekaroonkamol, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 2124 Candler Road, Jencare Neighborhood Medical Center South Dekalb, Llc, Decatur, GA 30032 Phone: 404-836-0272 Fax: 404-836-0289 | |
Dr. Charles Michael Hart, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, 151-p, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-728-7750 |