Mr Carlos Julio Moreno, | |
690 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1264 | |
(770) 459-0620 | |
(770) 456-7604 |
Full Name | Mr Carlos Julio Moreno |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 21 Years |
Location | 690 Dallas Hwy, Villa Rica, 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 |
---|---|---|---|
1477615862 | NPI | - | NPPES |
PA9102549 | Other | FL | PA LICENSE |
292140500 | Medicaid | FL | |
006320 | Other | GA | STATE LICENSE - PHYSICIAN ASSISTANT |
PENDING | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA9102549 (Florida) | Secondary |
363A00000X | Physician Assistant | 006320 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Center For Allergy And Asthma Of Georgia Pc | 2062460785 | 10 |
Mailing Address | Practice Location Address |
---|---|
Mr Carlos Julio Moreno, 690 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1264 Ph: (770) 459-0620 | Mr Carlos Julio Moreno, 690 Dallas Hwy, Suite 101, Villa Rica, GA 30180-1264 Ph: (770) 459-0620 |
Kortni Kilgore, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 403 Permian Way Ste D, Villa Rica, GA 30180 Phone: 770-627-7246 | |
Ms. Amanda Hope Descalzo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 690 Dallas Hwy Ste 103, Villa Rica, GA 30180 Phone: 770-214-2800 Fax: 770-214-2803 | |
Mary Alexander-adams, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 705 Dallas Hwy Ste 101, Villa Rica, GA 30180 Phone: 770-459-4411 Fax: 770-459-1895 |