Jorge Luis Moreno Jr, MD | |
375 Mcdonough Rd, Jackson, GA 30233-1509 | |
(770) 775-4622 | |
(770) 775-4132 |
Full Name | Jorge Luis Moreno Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 27 Years |
Location | 375 Mcdonough Rd, Jackson, 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 |
---|---|---|---|
1518914597 | NPI | - | NPPES |
046792 | Other | GA | MEDICAL LICENSE |
00885024A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 046792 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Of Covington | Covington, GA | Home health agency |
Encompass Health Home Health | Columbus, GA | Home health agency |
Wellstar Spalding Regional Hospital | Griffin, GA | Hospital |
Westbury Center Of Jackson For Nursing And Healing | Jackson, GA | Nursing home |
Entity Name | Maldonado & Moreno, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699815340 PECOS PAC ID: 5890989016 Enrollment ID: O20101102000612 |
Mailing Address | Practice Location Address |
---|---|
Jorge Luis Moreno Jr, MD 375 Mcdonough Rd, Jackson, GA 30233-1509 Ph: (770) 775-4622 | Jorge Luis Moreno Jr, MD 375 Mcdonough Rd, Jackson, GA 30233-1509 Ph: (770) 775-4622 |
Peter Izzo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1502 W 3rd St, Jackson, GA 30233 Phone: 678-774-0430 Fax: 770-775-3410 | |
Bennie R. White Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 794 Mcdonough Rd, Suite 105, Jackson, GA 30233 Phone: 770-775-2341 Fax: 770-775-3668 | |
Carol M Odegaard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 261 Brookwood Ave, Jackson, GA 30233 Phone: 678-752-0555 Fax: 678-752-0556 | |
Aleta Maria Gardner, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2978 Highway 36 W, Jackson, GA 30233 Phone: 770-504-2168 Fax: 770-504-2140 | |
Nicole Pritchett Jimerson, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1502 W 3rd St, Jackson, GA 30233 Phone: 770-914-0116 | |
Dr. Latora Williams, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1502 W 3rd St, Jackson, GA 30233 Phone: 770-914-0116 |