Dr Dev Mangalat, MD | |
725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 | |
(678) 207-4000 | |
(770) 531-2435 |
Full Name | Dr Dev Mangalat |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 21 Years |
Location | 725 Jesse Jewell Pkwy Se, Gainesville, 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 |
---|---|---|---|
1609040401 | NPI | - | NPPES |
794441598A | Medicaid | GA | |
794441598B | Medicaid | GA | |
794441598D | Medicaid | GA | |
P00903608 | Other | GA | MEDICARE RAILROAD |
4453689 | Other | GA | CIGNA |
01355160 | Other | GA | AMERIGROUP |
9102580 | Other | GA | AETNA |
3186961 | Other | GA | UHC |
52289700 | Other | GA | BCBS |
559684 | Other | GA | WELLCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 145571 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
Northside Hospital Forsyth | Cumming, GA | Hospital |
Northside Hospital Cherokee | Canton, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northside Surgical Professional Services Llc | 8628253424 | 272 |
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 Dev Mangalat, MD Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122 | Dr Dev Mangalat, MD 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3834 Ph: (678) 207-4000 |
Dr. Thomas Gregory Delong, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1387 Springdale Rd, Gainesville, GA 30501 Phone: 770-534-0984 | |
Courtney L Grant, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 678-207-4000 Fax: 770-531-2435 | |
Phillip Patrick Rideout, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 360, Gainesville, GA 30501 Phone: 770-219-4000 | |
Alexis Deana Smith, MD Surgery Medicare: Medicare Enrolled Practice Location: 1439 Jesse Jewell Pkwy Ne Ste 301, Gainesville, GA 30501 Phone: 770-219-9234 | |
Derek Paul Pendarvis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-536-2323 Fax: 770-536-4947 | |
Julius Timothy Fulenwider, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1075 Jesse Jewell Pkwy Ne, Ste B, Gainesville, GA 30501 Phone: 770-536-5733 Fax: 770-534-2114 | |
James A. Butts Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-536-2323 Fax: 770-536-4947 |