Jeremy Sebastian Nelson, MD | |
2221 Bonniewood Dr, Marietta, GA 30064-3820 | |
(478) 284-1020 | |
Not Available |
Full Name | Jeremy Sebastian Nelson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 16 Years |
Location | 2221 Bonniewood Dr, Marietta, 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 |
---|---|---|---|
1447410600 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 072048 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Forsyth | Cumming, GA | Hospital |
Wellstar Cobb Hospital | Austell, GA | Hospital |
Wellstar Douglas Hospital | Douglasville, GA | Hospital |
Wellstar Paulding Hospital | Hiram, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northside Emergency Associates, P.c. | 9335135144 | 30 |
Entity Name | Northside Emergency Associates, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686303 PECOS PAC ID: 9335135144 Enrollment ID: O20040426000165 |
Entity Name | Lagrange Emergency Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760437560 PECOS PAC ID: 0840207072 Enrollment ID: O20060314000271 |
Entity Name | The Bortolazzo Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
Entity Name | Gwinnett Emergency Specialists Observation Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720373129 PECOS PAC ID: 7618140955 Enrollment ID: O20111101000364 |
Mailing Address | Practice Location Address |
---|---|
Jeremy Sebastian Nelson, MD 2221 Bonniewood Dr, Marietta, GA 30064-3820 Ph: (478) 284-1020 | Jeremy Sebastian Nelson, MD 2221 Bonniewood Dr, Marietta, GA 30064-3820 Ph: (478) 284-1020 |
Keri Leigh Seamon, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 677 Church Street, Attn: Gme, Marietta, GA 30060 Phone: 678-850-6212 | |
Joseph J Braintwain, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1121 Johnson Ferry Rd, Suite 100, Marietta, GA 30068 Phone: 770-509-1025 | |
Dr. Rakesh Rasiklal Shah, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 Oak Forest Circle, Marietta, GA 30062 Phone: 404-697-5625 Fax: 888-669-9073 | |
Michelle Elizabeth Dehaven, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 115 Cherry St Ne, Marietta, GA 30060 Phone: 770-793-5700 | |
William E Richardson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 950 Cobb Pkwy S, #191, Marietta, GA 30060 Phone: 770-419-4471 Fax: 770-419-4473 | |
Patrick Kamba, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5000 | |
Marianne Taryla, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 61 Whitcher St Ne, Suite 2150, Marietta, GA 30060 Phone: 770-422-4268 |