Dr Gary Derusso Ii, MD | |
3950 Austell Rd, Austell, GA 30106 | |
(770) 732-3585 | |
(770) 732-3589 |
Full Name | Dr Gary Derusso Ii |
---|---|
Gender | Male |
Speciality | Hospice/palliative Care |
Experience | 9 Years |
Location | 3950 Austell Rd, 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 |
---|---|---|---|
1548657398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 83581 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Wellstar Cobb Hospital | Austell, 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 Gary Derusso Ii, MD 3950 Austell Rd, Austell, GA 30106-1121 Ph: (770) 732-3585 | Dr Gary Derusso Ii, MD 3950 Austell Rd, Austell, GA 30106 Ph: (770) 732-3585 |
Y Khalid Siddiq, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Hospital South Dr, Suite 200, Austell, GA 30106 Phone: 770-948-5578 | |
Dr. Yousef Hindi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4025 Fax: 770-732-4023 | |
Dr. Manu Malepati, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Box 22, Austell, GA 30106 Phone: 470-732-4022 Fax: 470-732-4023 | |
Dr. Alaa El-din Soltan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1668 Mulkey Rd Ste 164, Austell, GA 30106 Phone: 770-948-3233 Fax: 770-944-1537 | |
Ryan P Carrick, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3820 Medical Park Dr., Austell, GA 30106 Phone: 770-948-6041 | |
Dr. Jacob Nathan Blatt, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Hospital South Dr, Suite 409, Austell, GA 30106 Phone: 770-424-6893 Fax: 770-528-9926 | |
Rashila Byrd, Internal Medicine Medicare: Medicare Enrolled Practice Location: 3825 Medical Park Dr Ste 300, Austell, GA 30106 Phone: 770-941-4810 Fax: 770-948-9149 |