Shanthan Pendem, MD | |
1400 River Pl, Braselton, GA 30517-5600 | |
(770) 848-8000 | |
(770) 848-8601 |
Full Name | Shanthan Pendem |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 27 Years |
Location | 1400 River Pl, Braselton, 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 |
---|---|---|---|
1659425817 | NPI | - | NPPES |
P00256319 | Other | ND | RR MEDICARE |
13617 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 9882 (North Dakota) | Secondary |
207RC0200X | Internal Medicine - Critical Care Medicine | 68271 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gwinnett Pulmonary Group | 1153317615 | 16 |
Piedmont Specialty Hospital Billing Llc | 4183986490 | 184 |
Entity Name | The Emory Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Entity Name | Gwinnett Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780747469 PECOS PAC ID: 4284524166 Enrollment ID: O20040316000602 |
Entity Name | Northeast Georgia Physicians Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
Entity Name | Gwinnett Pulmonary Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801974175 PECOS PAC ID: 1153317615 Enrollment ID: O20040421001310 |
Entity Name | Emory Specialty Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Entity Name | Piedmont Specialty Hospital Billing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699290510 PECOS PAC ID: 4183986490 Enrollment ID: O20180327001180 |
Mailing Address | Practice Location Address |
---|---|
Shanthan Pendem, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Shanthan Pendem, MD 1400 River Pl, Braselton, GA 30517-5600 Ph: (770) 848-8000 |
Siva Chiranjeevi, MD Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 1404 River Pl Ste 501, Braselton, GA 30517 Phone: 770-534-2020 | |
Champak Patel, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 5196 Hwy 53, Braselton, GA 30517 Phone: 706-824-9929 Fax: 706-654-9373 | |
Dr. Nima Ghasemzadeh, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1404 River Pl Ste 501, Braselton, GA 30517 Phone: 770-534-2020 Fax: 770-534-8025 | |
Zaid Houfdhi Said, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1404 River Pl Ste 501, Braselton, GA 30517 Phone: 770-534-2020 Fax: 770-534-8025 | |
Dr. Mulualem Yigzaw Teferi, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 River Pl, Braselton, GA 30517 Phone: 770-219-6000 | |
Dr. Erum Farooqi, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1270 Friendship Rd, Braselton, GA 30517 Phone: 678-207-4050 Fax: 678-207-4051 | |
Dr. Francisco J Albert, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 River Pl, Braselton, GA 30517 Phone: 770-219-9000 |