Kurtis Bertram, DPM | |
20 Glenlake Pkwy, Atlanta, GA 30328-3473 | |
(631) 645-8110 | |
Not Available |
Full Name | Kurtis Bertram |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 8 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 |
---|---|---|---|
1528592094 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | PO1000185 (District Of Columbia) | Primary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | POD001449 (Georgia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Medstar Health Vna, Inc | Calverton, MD | Home health agency |
Medstar Washington Hospital Center | Washington, DC | Hospital |
Medstar Montgomery Medical Center | Olney, MD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstar Medical Group Ii Llc | 0547413825 | 1790 |
Provider Name | Medstar Medical Group Ii Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000415 |
Mailing Address | Practice Location Address |
---|---|
Kurtis Bertram, DPM 20 Glenlake Pkwy, Atlanta, GA 30328-3473 Ph: (631) 645-8110 | Kurtis Bertram, DPM 20 Glenlake Pkwy, Atlanta, GA 30328-3473 Ph: (631) 645-8110 |
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