Getachew Desta Iyasu, MD | |
743 Spring Street Ne, Gainsville, GA 30501 | |
(770) 219-6000 | |
Not Available |
Full Name | Getachew Desta Iyasu |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 28 Years |
Location | 743 Spring Street Ne, Gainsville, 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 |
---|---|---|---|
1184064867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 006551 (Georgia) | Secondary |
208M00000X | Hospitalist | 74871 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Forsyth | Cumming, GA | Hospital |
Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
Northside Hospital Cherokee | Canton, GA | Hospital |
Northside Hospital | Atlanta, GA | Hospital |
Stephens County Hospital | Toccoa, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Atlanta Professional Services Llc | 0840291944 | 290 |
Northeast Georgia Physicians Group Inc | 6901898386 | 651 |
Southeastern Medical Specialists, Llc | 8527401777 | 10 |
Entity Name | 24 On Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912956251 PECOS PAC ID: 5698688141 Enrollment ID: O20031216000444 |
Entity Name | Northeast Georgia Physicians Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
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: O20060419000545 |
Entity Name | North Atlanta Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197 |
Entity Name | Marcy Inpatient Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396154159 PECOS PAC ID: 0244555613 Enrollment ID: O20150205000737 |
Entity Name | Southeastern Medical Specialists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801578638 PECOS PAC ID: 8527401777 Enrollment ID: O20240205003960 |
Mailing Address | Practice Location Address |
---|---|
Getachew Desta Iyasu, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Getachew Desta Iyasu, MD 743 Spring Street Ne, Gainsville, GA 30501 Ph: (770) 219-6000 |