Dr Mitchel Altman Leavitt, MD | |
1765 Old West Broad St, Athens, GA 30606-2853 | |
(706) 549-1663 | |
(706) 546-8792 |
Full Name | Dr Mitchel Altman Leavitt |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 12 Years |
Location | 1765 Old West Broad St, Athens, 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 |
---|---|---|---|
1528204823 | NPI | - | NPPES |
14015888 | Other | CAQH NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 76160 (Georgia) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 76160 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mary's Hospital | Athens, GA | Hospital |
Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
Piedmont Newton Hospital | Covington, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Athens Orthopedic Clinic, Pa | 5991600181 | 71 |
Entity Name | Athens Orthopedic Clinic, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063495299 PECOS PAC ID: 5991600181 Enrollment ID: O20031201000709 |
Mailing Address | Practice Location Address |
---|---|
Dr Mitchel Altman Leavitt, MD 1765 Old West Broad St Bldg 2-200, Athens, GA 30606-2887 Ph: (706) 549-1663 | Dr Mitchel Altman Leavitt, MD 1765 Old West Broad St, Athens, GA 30606-2853 Ph: (706) 549-1663 |
Nidhi Patel, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2319 Prince Ave, Athens, GA 30606 Phone: 706-425-8888 | |
Cora Hrebec, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 665 Gaines School Rd, Athens, GA 30605 Phone: 706-369-8115 Fax: 706-369-8116 | |
Jesse Ferguson, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 665 Gaines School Rd, Athens, GA 30605 Phone: 706-369-8115 Fax: 706-369-8116 | |
Kelly A Dixon-martin, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 4017 Atlanta Hwy Ste B, Athens, GA 30606 Phone: 706-389-2222 Fax: 706-389-2221 | |
Dr. Jian Hu, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 855 King Ave, Athens, GA 30606 Phone: 706-549-1663 Fax: 706-546-8792 | |
Bogdan Cristian Jaliu, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2142 W Broad St, Bldg 100 Ste 200, Athens, GA 30606 Phone: 706-548-6881 Fax: 706-546-0821 | |
Michael Jacob Wilczek, DO Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1230 Baxter St, Athens, GA 30606 Phone: 281-724-3050 Fax: 512-628-3314 |