Mithilesh Siddu, | |
1120 15th St, Augusta, GA 30912-3201 | |
(706) 721-1962 | |
Not Available |
Full Name | Mithilesh Siddu |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 14 Years |
Location | 1120 15th St, Augusta, 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 |
---|---|---|---|
1174907521 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084V0102X | Psychiatry & Neurology - Vascular Neurology | 83992 (Georgia) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 83992 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Grady Memorial Hospital | Atlanta, GA | Hospital |
Saint Joseph's Hospital Of Atlanta, Inc | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emory Medical Care Foundation Inc | 4981501814 | 814 |
The Emory Clinic, Inc | 8820901408 | 2729 |
Entity Name | The Emory Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Entity Name | Emory Medical Care Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
Entity Name | Au Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
Mailing Address | Practice Location Address |
---|---|
Mithilesh Siddu, 409 Pottery Dr, Martinez, GA 30907-9295 Ph: (425) 894-7315 | Mithilesh Siddu, 1120 15th St, Augusta, GA 30912-3201 Ph: (706) 721-1962 |
Alaa Salah Hamadtalla Mohamed, MBBS Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1399 Walton Way Apt 118, Augusta, GA 30901 Phone: 904-655-4952 | |
Ashutosh Pandey, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 Fax: 706-721-1459 | |
Gregory E Smith, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1404 Highland Ave, Augusta, GA 30904 Phone: 706-267-7471 | |
John C. Morgan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4581 Fax: 706-721-6757 | |
Monique Howard Lentz, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3633 Wheeler Rd, Suite 110, Augusta, GA 30909 Phone: 706-855-7784 Fax: 706-650-1090 | |
Peter Bechan Rosenquist, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 997 Saint Sebastian Way, Georgia Regents Medical Associates, Augusta, GA 30901 Phone: 706-721-6597 | |
Dr. Erin Vanessa Spearman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 997 Saint Sebastian Way, Eg-3027, Augusta, GA 30912 Phone: 706-721-6597 |