Laila Mozdab, DO | |
1 Meadows Pkwy, Vidalia, GA 30474-8759 | |
(912) 538-5359 | |
(912) 538-5228 |
Full Name | Laila Mozdab |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 27 Years |
Location | 1 Meadows Pkwy, Vidalia, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598758807 | NPI | - | NPPES |
000899874B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 044793 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Meadows Regional Medical Center | Vidalia, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Se Georgia Anesthesia, Llc | 8426466137 | 105 |
Entity Name | Se Georgia Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518542919 PECOS PAC ID: 8426466137 Enrollment ID: O20210419001856 |
Mailing Address | Practice Location Address |
---|---|
Laila Mozdab, DO Po Box 1303, Vidalia, GA 30475-1303 Ph: (912) 538-5359 | Laila Mozdab, DO 1 Meadows Pkwy, Vidalia, GA 30474-8759 Ph: (912) 538-5359 |
Frank Gibase, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5359 Fax: 912-538-5228 | |
Dr. Julie Ann Fitzgerald, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5053 | |
George A Ferrara, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1703 Meadows Ln, Vidalia, GA 30474 Phone: 912-538-5359 Fax: 912-538-5228 | |
Anthony D Mancuso, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5359 Fax: 912-538-5228 | |
Milca Altineus Ejimone, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555 |