Roberto A Larrivey, MD | |
790 Church St Ne, Ste 140, Marietta, GA 30060-8902 | |
(770) 425-7199 | |
(678) 819-5538 |
Full Name | Roberto A Larrivey |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 790 Church St Ne, Marietta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720083702 | NPI | - | NPPES |
956323850A | Medicaid | GA | |
956323850B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 052983 (Georgia) | Primary |
Entity Name | Atlanta Ent Sinus & Allergy Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285619544 PECOS PAC ID: 2365410156 Enrollment ID: O20040920000803 |
Mailing Address | Practice Location Address |
---|---|
Roberto A Larrivey, MD 5555 Peachtree Dunwoody Rd Ne, Ste 125, Atlanta, GA 30342-1703 Ph: (404) 255-2918 | Roberto A Larrivey, MD 790 Church St Ne, Ste 140, Marietta, GA 30060-8902 Ph: (770) 425-7199 |
Audra Crabbe, PA-C Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2056 Pawnee Dr Se, Marietta, GA 30067 Phone: 908-391-2395 | |
Dr. Andrew Everett Sutton, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 780 Canton Rd Ne, Suite 330, Marietta, GA 30060 Phone: 770-427-0368 Fax: 678-581-5969 | |
Avani Patel Ingley, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 80 Lacy St Nw, Northwest Ent And Allergy Center, Marietta, GA 30060 Phone: 770-427-0368 | |
Dr. Sally M. Revell, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 699 Church St Ne, Ste 340, Marietta, GA 30060 Phone: 770-793-7613 Fax: 770-793-7413 | |
Dr. Debbie J Christensen, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 699 Church St Ne, Ste 340, Marietta, GA 30060 Phone: 678-355-1620 | |
Dr. David Michael Weeks, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 699 Church St, Ste 340, Marietta, GA 30060 Phone: 678-355-1620 | |
Dr. Shatul L. Parikh, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 80 Lacy St Nw, Northwest Ent And Allergy Center, Marietta, GA 30060 Phone: 770-427-0368 Fax: 678-581-5969 |