Mr Nathan Mordel, MD | |
2500 Hospital Blvd Ste 340, Roswell, GA 30076-4977 | |
(470) 956-4590 | |
(678) 393-1969 |
Full Name | Mr Nathan Mordel |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 45 Years |
Location | 2500 Hospital Blvd Ste 340, Roswell, 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 |
---|---|---|---|
1245298082 | NPI | - | NPPES |
16BBBSP | Other | GA | MEDICARE ID/105 COLLIER ROAD SUITE 1010 |
DA6300 | Other | GA | MEDICARE RAILROAD PIN |
00800148A | Medicaid | GA | |
45895 | Other | GA | GA. MED. LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VG0400X | Obstetrics & Gynecology - Gynecology | 045895 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar North Fulton Hospital | Roswell, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Mr Nathan Mordel, MD 2500 Hospital Blvd Ste 340, Roswell, GA 30076-4977 Ph: (470) 956-4590 | Mr Nathan Mordel, MD 2500 Hospital Blvd Ste 340, Roswell, GA 30076-4977 Ph: (470) 956-4590 |
Dr. Linda Chacko Kuzhippala, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1015 Mansell Rd, Roswell, GA 30076 Phone: 770-521-2229 Fax: 770-521-2231 | |
Susan Wheatley, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1250 Upper Hembree Rd., Suite B, Roswell, GA 30076 Phone: 770-442-8100 Fax: 770-664-8298 | |
Desiree Ogbedei Ashong, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1300 Upper Hembree Rd Ste D, Roswell, GA 30076 Phone: 770-670-6170 Fax: 770-670-6171 | |
Heather B. Krantz, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 900 Old Roswell Lakes Pkwy Ste 310, Roswell, GA 30076 Phone: 434-248-7508 | |
Dr. Alexcis Thomson Ford, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11660 Alpharetta Hwy Ste 710, Roswell, GA 30076 Phone: 678-344-8900 Fax: 678-666-5201 | |
Mr. Anthony Dwayne Mills, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 770 Old Roswell Pl, Suite J100, Roswell, GA 30076 Phone: 404-547-7450 Fax: 770-643-2011 |