Jorge B Pisarello, MD | |
107 Fairview Park Dr, Dublin, GA 31021-2501 | |
(478) 864-3448 | |
(478) 864-1288 |
Full Name | Jorge B Pisarello |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 107 Fairview Park Dr, Dublin, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992795876 | NPI | - | NPPES |
58914 | Other | GA | MEDICAL LICENSE |
1235131137 | Other | MI | BCBSM - BLH |
1992795876 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | MD027109E (Pennsylvania) | Secondary |
207R00000X | Internal Medicine | 58914 (Georgia) | Primary |
Entity Name | Community Health Care Systems, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932150422 PECOS PAC ID: 5890783179 Enrollment ID: O20040505000153 |
Entity Name | Albany Area Community Svc. Board |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063464212 PECOS PAC ID: 9032190483 Enrollment ID: O20040601000373 |
Entity Name | Onesource Healthcare Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609207034 PECOS PAC ID: 4284864810 Enrollment ID: O20140227001514 |
Entity Name | Piedmont Specialty Hospital Billing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699290510 PECOS PAC ID: 4183986490 Enrollment ID: O20180327001180 |
Entity Name | Mky Healthcare Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982362224 PECOS PAC ID: 0345627022 Enrollment ID: O20220518002297 |
Mailing Address | Practice Location Address |
---|---|
Jorge B Pisarello, MD Po Box 371, Wrightsville, GA 31096-0371 Ph: (478) 864-3448 | Jorge B Pisarello, MD 107 Fairview Park Dr, Dublin, GA 31021-2501 Ph: (478) 864-3448 |
Dr. Raman S.p Damineni, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 Fax: 478-274-5508 | |
Pride R Chapman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 Fairview Park Dr, Dublin, GA 31021 Phone: 478-272-1366 Fax: 478-277-1922 | |
Tirso A Castillo, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Fairview Park Dr, Dublin, GA 31021 Phone: 478-272-1366 Fax: 478-275-2322 | |
Andre Christopher Lewis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Industrial Blvd., Hospitalists At Fairview Park Llc, Dublin, GA 31021 Phone: 478-274-3925 Fax: 478-274-3663 | |
Matthew B Grundfast, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Fairview Park Dr, Dublin, GA 31021 Phone: 478-277-1929 Fax: 478-304-1468 | |
Dr. Meenakshi Mohan Ram, M.D., Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 | |
Dr. Arun George, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 |