Dr Vivek Kumar Gupta, MD | |
6002 Professional Parkway, Suite 100, Douglasville, GA 30134 | |
(770) 949-4200 | |
(770) 949-5553 |
Full Name | Dr Vivek Kumar Gupta |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 26 Years |
Location | 6002 Professional Parkway, 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 |
---|---|---|---|
1881612133 | NPI | - | NPPES |
P00107542 | Other | RAILROAD MEDICARE | |
003379537A | Medicaid | GA | |
072044 | Other | BLUE | |
7157520 | Other | AETNA PPO | |
003379537B | Medicaid | GA | |
323384 | Other | WELLCARE | |
5418507001 | Other | CIGNA | |
7157520 | Other | AETNA HMO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 052734 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Douglas Hospital | Douglasville, 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 Vivek Kumar Gupta, MD 6002 Professional Parkway, Suite 100, Douglasville, GA 30134 Ph: (770) 949-4200 | Dr Vivek Kumar Gupta, MD 6002 Professional Parkway, Suite 100, Douglasville, GA 30134 Ph: (770) 949-4200 |
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 | |
Dr. Andrew Paul Barak, DO 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. 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 |