| Amod O Sureka, MD | |
|
2675 N Decatur Rd Ste 110, Decatur, GA 30033-6130 | |
| (770) 979-8080 | |
| (770) 979-8099 |
| Full Name | Amod O Sureka |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 25 Years |
| Location | 2675 N Decatur Rd Ste 110, Decatur, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548291750 | NPI | - | NPPES |
| 036107639 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 077948 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Brain And Spine Llc | 0143595157 | 6 |
| Georgia Pain And Wellness Center | 8527200864 | 45 |
| Entity Name | Georgia Pain And Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356781181 PECOS PAC ID: 8527200864 Enrollment ID: O20130815000433 |
| Entity Name | Legacy Brain & Spine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033632419 PECOS PAC ID: 0143595157 Enrollment ID: O20171002000580 |
| Mailing Address | Practice Location Address |
|---|---|
| Amod O Sureka, MD 2675 N Decatur Rd Ste 110, Decatur, GA 30033-6130 Ph: (770) 979-8080 | Amod O Sureka, MD 2675 N Decatur Rd Ste 110, Decatur, GA 30033-6130 Ph: (770) 979-8080 |
Alka Kohli, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000 | |
Dr. Ralph D'auria, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1452 Church St, Decatur, GA 30030 Phone: 404-378-8002 Fax: 404-378-6226 | |
Kyle Aman, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 450 N Candler St, Decatur, GA 30030 Phone: 404-501-6136 | |
Jeffrey Bradford Eliason, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1670 Clairmont Rd, Pm&r Clinic 117 Atlanta Vamc, Decatur, GA 30033 Phone: 404-321-6111 | |
Dr. Shannon Janine Smith, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 877-749-7428 Fax: 512-628-3314 | |
Christopher J Williams, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 877-749-7428 Fax: 512-628-3314 |