Mario N Dalesandro, MS, ATC is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in Demorest, Georgia. Mario N Dalesandro is licensed to practice in Georgia (license number AT003429) and his current practice location is 1021 Central Ave, Demorest, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 778-3000.
NPI number for Mario N Dalesandro is 1851945240 and his current mailing address is Po Box 10, Demorest, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851945240.
Physician's Profile
| Full Name | Mario N Dalesandro |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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| Location | 1021 Central Ave, Demorest, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851945240
- Provider Enumeration Date: 07/24/2019
- Last Update Date: 07/24/2019
Medical Identifiers
Medical identifiers for Mario N Dalesandro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851945240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | AT003429 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mario N Dalesandro is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mario N Dalesandro, MS, ATC
Po Box 10,
Demorest, GA 30535-0010
Ph: () - | Mario N Dalesandro, MS, ATC
1021 Central Ave,
Demorest, GA 30535-5252
Ph: (706) 778-3000 |
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