Edwin Enrique Villarreal, MD | |
541 Historic Hwy 441-n, Demorest, GA 30535-4528 | |
(770) 219-7078 | |
(770) 219-7365 |
Full Name | Edwin Enrique Villarreal |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 22 Years |
Location | 541 Historic Hwy 441-n, Demorest, 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 |
---|---|---|---|
1447418397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 63221 (Tennessee) | Primary |
207R00000X | Internal Medicine | 066663 (Georgia) | Secondary |
208M00000X | Hospitalist | 066663 (Georgia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Southeast Alabama Medical Center | Dothan, AL | Hospital |
Tennova Health Care-cleveland | Cleveland, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Capstone Health Services Foundation Pc | 6103724489 | 124 |
Houston County Healthcare Authority | 9436062296 | 195 |
Southeastern Physician Services Pc | 0042307852 | 499 |
Entity Name | Whatley Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063422756 PECOS PAC ID: 8224921705 Enrollment ID: O20040206000846 |
Entity Name | Houston County Healthcare Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209 |
Entity Name | Capstone Health Services Foundation Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740397751 PECOS PAC ID: 6103724489 Enrollment ID: O20040330001160 |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20140219000913 |
Entity Name | Oak Mountain Group Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366840761 PECOS PAC ID: 3678886256 Enrollment ID: O20150727000323 |
Entity Name | Nes Tennessee, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437606605 PECOS PAC ID: 3678472040 Enrollment ID: O20161031002328 |
Entity Name | App Of Alabama Hm, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245713684 PECOS PAC ID: 8921342858 Enrollment ID: O20181204002903 |
Entity Name | Flowers Hb Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972283828 PECOS PAC ID: 6305290990 Enrollment ID: O20231002000205 |
Mailing Address | Practice Location Address |
---|---|
Edwin Enrique Villarreal, MD Po Box 658, Gainesville, GA 30503-0658 Ph: (770) 718-1122 | Edwin Enrique Villarreal, MD 541 Historic Hwy 441-n, Demorest, GA 30535-4528 Ph: (770) 219-7078 |