Madeleine Delportillo, MD | |
2701 North Decatur Rd, Decatur, GA 30034 | |
(404) 501-1843 | |
(404) 501-1837 |
Full Name | Madeleine Delportillo |
---|---|
Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 2701 North Decatur Rd, Decatur, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174609390 | NPI | - | NPPES |
000244703AG | Medicaid | GA | |
000244703AH | Medicaid | GA | |
06581141 | Other | GA | AMERIGROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 021672 (Georgia) | Primary |
Entity Name | The Longstreet Clinic, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326019977 PECOS PAC ID: 2668465733 Enrollment ID: O20040405001521 |
Mailing Address | Practice Location Address |
---|---|
Madeleine Delportillo, MD 2247 Salient Rd, Marietta, GA 30064 Ph: (404) 501-1843 | Madeleine Delportillo, MD 2701 North Decatur Rd, Decatur, GA 30034 Ph: (404) 501-1843 |
Melinda E Shelton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 350 Winn Way, Decatur, GA 30030 Phone: 404-508-1177 Fax: 404-508-9640 | |
Dr. Laura Smith Lord, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1843 | |
Deborah C Pollack, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 350 Winn Way, Decatur, GA 30030 Phone: 404-508-1177 Fax: 404-508-9640 | |
Dr. Peggy Michelle Marcus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 350 Winn Way, Decatur, GA 30030 Phone: 404-508-1177 Fax: 404-508-9640 | |
Anna Bowen, MD, MPH Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 128 Fairview Ave, Decatur, GA 30030 Phone: 706-461-3332 | |
Dr. Bridget Arnold Cobb, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-2923 Fax: 404-501-1837 | |
Joseph M Rosenfeld, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5008 Snapfinger Woods Dr, Decatur, GA 30035 Phone: 770-981-0210 Fax: 770-981-0280 |