Ghassan Dalati, MD | |
101 E Brunson St Ste 110, Enterprise, AL 36330-2500 | |
(334) 348-4278 | |
(334) 348-8883 |
Full Name | Ghassan Dalati |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 101 E Brunson St Ste 110, Enterprise, Alabama |
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 |
---|---|---|---|
1457456881 | NPI | - | NPPES |
P00431665 | Other | KY | RAILROAD |
000000547852 | Other | KY | BCBS |
3810014609 | Medicaid | WV | |
64098650 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 39041 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Medical Center Enterprise | Enterprise, AL | Hospital |
Flowers Hospital | Dothan, AL | Hospital |
Southeast Alabama Medical Center | Dothan, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Enterprise Clinic Llc | 1456488667 | 6 |
Entity Name | Enterprise Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639491616 PECOS PAC ID: 1456488667 Enrollment ID: O20100420000715 |
Mailing Address | Practice Location Address |
---|---|
Ghassan Dalati, MD 101 E Brunson St Ste 110, Enterprise, AL 36330-2500 Ph: (334) 348-4278 | Ghassan Dalati, MD 101 E Brunson St Ste 110, Enterprise, AL 36330-2500 Ph: (334) 348-4278 |
Dr. William E Reynolds Jr., MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 101 Professional Ln, Enterprise, AL 36330 Phone: 334-347-3404 Fax: 334-693-0613 | |
Dr. Gabruce Alan Young, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 101 Professional Ln, Enterprise, AL 36330 Phone: 334-347-3404 Fax: 334-393-0613 | |
Dr. David Nelson Rhyne, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 101 E Brunson St, Suite 200, Enterprise, AL 36330 Phone: 334-393-3686 Fax: 334-347-4906 | |
Dr. Bruce R Williams, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 805 E Lee St, Suite C, Enterprise, AL 36330 Phone: 334-348-8818 Fax: 334-393-8773 | |
Dr. Peter Anthony Veneziano, DO Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 101 E Brunson St, Suite 200, Enterprise, AL 36330 Phone: 334-393-3686 Fax: 334-347-4906 | |
John Andrew Kreisberg, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 400 North Edwards Street, Enterprise, AL 36330 Phone: 334-347-0584 Fax: 334-347-2080 |