Ricardo Daniel Moreno, MD | |
20 Glenlake Pkwy, Kaiser Permanente-glenlake Medical Center, Atlanta, GA 30328-3473 | |
(770) 677-6075 | |
Not Available |
Full Name | Ricardo Daniel Moreno |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 24 Years |
Location | 20 Glenlake Pkwy, Atlanta, 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 |
---|---|---|---|
1306998984 | NPI | - | NPPES |
5900993 | Medicaid | NC | |
P00281577 | Other | NC | MEDICARE RR |
139N5 | Other | NC | BCBS NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2005-00696 (North Carolina) | Secondary |
208600000X | Surgery | 062261 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Saint Joseph's Hospital Of Atlanta, Inc | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Southeast Permanente Medical Group | 6204829013 | 660 |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
---|---|
Ricardo Daniel Moreno, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: () - | Ricardo Daniel Moreno, MD 20 Glenlake Pkwy, Kaiser Permanente-glenlake Medical Center, Atlanta, GA 30328-3473 Ph: (770) 677-6075 |
Dr. Dominic Joseph Papandria, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne, Atlanta, GA 30308 Phone: 404-686-4411 | |
Dr. Constance Scott Harrell Shreckengost, MD, PHD Surgery Medicare: Medicare Enrolled Practice Location: 1364 Clifton Rd Ne Rm B206, Atlanta, GA 30322 Phone: 404-727-5800 | |
John Sweeney, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1365a Clifton Rd Ne, Suite 3300, Atlanta, GA 30322 Phone: 404-778-3712 Fax: 404-778-5033 | |
Marlieke E Nussenbaum, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 1015 Boulevard Se Apt 629, Atlanta, GA 30312 Phone: 919-360-5327 | |
Samantha Courtney Thomas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 69 Jesse Hill Jr Drive, Glenn Memorial Building, 3rd Floor, Atlanta, GA 30303 Phone: 404-251-8915 Fax: 404-523-3931 | |
Vanessa Arientyl, MD Surgery Medicare: Medicare Enrolled Practice Location: 69 Jesse Hill Jr. Drive Southeast, Glenn Memorial Building, 3rd Floor, Atlanta, GA 30303 Phone: 404-251-8915 Fax: 404-523-3931 | |
Mr. Barrie Douglas Lowman, P.A. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5669 Peachtree Dunwoody Rd Ne, Suite 100, Atlanta, GA 30342 Phone: 404-256-0404 Fax: 404-847-0423 |