Richard J Breckwoldt, MD | |
5604 Wendy Bagwell Pkwy, Suite 711, Hiram, GA 30141-7813 | |
(678) 384-0800 | |
(678) 384-0801 |
Full Name | Richard J Breckwoldt |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 36 Years |
Location | 5604 Wendy Bagwell Pkwy, Hiram, 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 |
---|---|---|---|
1942297106 | NPI | - | NPPES |
000656103B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 39295 (Georgia) | Secondary |
207R00000X | Internal Medicine | 039295 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Home Health, Llc | Marietta, GA | Home health agency |
Piedmont Hospital | Atlanta, GA | Hospital |
Wellstar Cobb Hospital | Austell, GA | Hospital |
Wellstar Paulding Hospital | Hiram, GA | Hospital |
Wellstar Douglas Hospital | Douglasville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Medical Care Corporation | 6002802220 | 284 |
Entity Name | Piedmont Medical Care Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912956046 PECOS PAC ID: 6002802220 Enrollment ID: O20040422001500 |
Mailing Address | Practice Location Address |
---|---|
Richard J Breckwoldt, MD 5604 Wendy Bagwell Pkwy, Suite 711, Hiram, GA 30141-7813 Ph: (678) 384-0800 | Richard J Breckwoldt, MD 5604 Wendy Bagwell Pkwy, Suite 711, Hiram, GA 30141-7813 Ph: (678) 384-0800 |
Dr. Kathleen A. Long, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141 Phone: 678-363-1940 Fax: 678-581-7110 | |
David M. Finkelman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 144 Bill Carruth Pkwy Ste 3600, Hiram, GA 30141 Phone: 678-486-5500 Fax: 678-486-5502 | |
Judy Oh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy Ste 200, Hiram, GA 30141 Phone: 678-741-5000 Fax: 770-445-9013 | |
Alan Chung-kee Cheng, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 148 Bill Carruth Pkwy, Suite 100, Hiram, GA 30141 Phone: 678-324-4444 Fax: 770-528-9932 | |
Dr. William L Forehand Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141 Phone: 678-363-1940 Fax: 678-581-7110 | |
Dr. Jeffrey L Tharp, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 176 Charles Hardy Pkwy Unit C, Hiram, GA 30141 Phone: 678-945-8200 Fax: 678-945-8209 | |
Mr. Zaid Mohammed-khair Shmaisani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2518 Jimmy Lee Smith Pkwy, Hiram, GA 30141 Phone: 470-644-8027 Fax: 470-986-7105 |