Micheal A Hall, MD | |
3855 Pleasant Hill Rd Ste 470, Duluth, GA 30096-1417 | |
(678) 312-7280 | |
(678) 312-7299 |
Full Name | Micheal A Hall |
---|---|
Gender | Male |
Speciality | Undefined Physician Type (specify) |
Experience | 15 Years |
Location | 3855 Pleasant Hill Rd Ste 470, Duluth, 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 |
---|---|---|---|
1487895488 | NPI | - | NPPES |
1968463 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 36432 (Alabama) | Secondary |
208600000X | Surgery | 88185 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Forsyth | Cumming, GA | Hospital |
Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northside Surgical Professional Services Llc | 8628253424 | 272 |
Entity Name | Northside Surgical Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 |
Mailing Address | Practice Location Address |
---|---|
Micheal A Hall, MD 3855 Pleasant Hill Rd Ste 470, Duluth, GA 30096-1417 Ph: (678) 312-7280 | Micheal A Hall, MD 3855 Pleasant Hill Rd Ste 470, Duluth, GA 30096-1417 Ph: (678) 312-7280 |
Delquis Rafael Mendoza Jr., M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3970 Rogers Bridge Rd, Duluth, GA 30097 Phone: 404-265-1579 | |
Glenn M Hall Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3855 Pleasant Hill Rd Ste 470, Duluth, GA 30096 Phone: 678-312-7280 | |
Dr. Robert C Fritz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3655 Howell Ferry Rd Ste 200, Duluth, GA 30096 Phone: 770-476-7047 Fax: 408-335-4730 | |
Mr. Hernan Dario Urrego, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 Phone: 404-881-8020 | |
Miss Erjia Bao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11205 Abbotts Walk Dr, Duluth, GA 30097 Phone: 770-365-7337 | |
Erica N Proctor, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3855 Pleasant Hill Rd Ste 280, Duluth, GA 30096 Phone: 678-312-7490 Fax: 678-312-7499 |