Ostap Dovirak, MD | |
850 Lawrenceville Suwanee Rd Ste 101, Lawrenceville, GA 30043-5483 | |
(770) 963-2451 | |
(770) 962-0017 |
Full Name | Ostap Dovirak |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 16 Years |
Location | 850 Lawrenceville Suwanee Rd Ste 101, Lawrenceville, 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 |
---|---|---|---|
1912141417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 258802 (Massachusetts) | Secondary |
208800000X | Urology | 0101257619 (Virginia) | Secondary |
208800000X | Urology | 98455 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Regional Medical Center | Newport news, VA | Hospital |
Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
Northside Hospital | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Riverside Physician Services Inc | 5092608448 | 738 |
Georgia Urology, Pa | 8921094376 | 71 |
Entity Name | Riverside Physician Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
Mailing Address | Practice Location Address |
---|---|
Ostap Dovirak, MD 1930 Brannan Rd, Mcdonough, GA 30253-4310 Ph: (678) 284-4040 | Ostap Dovirak, MD 850 Lawrenceville Suwanee Rd Ste 101, Lawrenceville, GA 30043-5483 Ph: (770) 963-2451 |
Dr. Christopher Joon Ki Kim, MD, PHARMD Urology Medicare: Not Enrolled in Medicare Practice Location: 850 Lawrenceville Suwanee Rd Ste 101, Lawrenceville, GA 30043 Phone: 770-963-2451 | |
Roosevelt Allen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 500 Medical Center Blvd, Suite 220, Lawrenceville, GA 30046 Phone: 770-963-2451 Fax: 770-962-0017 | |
Dr. Jin Soon Yeoh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 631 Professional Dr Ste 490, Lawrenceville, GA 30046 Phone: 770-995-0424 Fax: 770-513-7334 | |
Mukesh R Patel, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 501 Crownpointe Way, Lawrenceville, GA 30046 Phone: 678-344-8900 Fax: 678-666-5201 | |
Dr. Kanika Searvance, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 500 Medical Center Blvd Ste 345, Lawrenceville, GA 30046 Phone: 770-963-2451 | |
Douglas A Nyhoff, M.D. Urology Medicare: Medicare Enrolled Practice Location: 631 Professional Dr Ste 490, Lawrenceville, GA 30046 Phone: 770-995-0424 Fax: 770-513-7334 |