| Connie A Trello, MD | |
|
1350 Walton Way, 3rd Fl Critical Care Medicine, Augusta, GA 30901-2612 | |
| (706) 774-5713 | |
| (706) 774-5792 |
| Full Name | Connie A Trello |
|---|---|
| Gender | Female |
| Speciality | Critical Care (intensivists) |
| Experience | 36 Years |
| Location | 1350 Walton Way, Augusta, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609858984 | NPI | - | NPPES |
| G43495 | Medicaid | SC | |
| 000736766E | Medicaid | GA | |
| 000736766F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 043495 (Georgia) | Primary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | 043495 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospital | Augusta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Specialty Hospital Billing Llc | 4183986490 | 202 |
| Entity Name | Piedmont Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
| Entity Name | University Critical Care Medicine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457799983 PECOS PAC ID: 8123260445 Enrollment ID: O20130815000207 |
| 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 |
|---|---|
| Connie A Trello, MD 1350 Walton Way, 3rd Fl Critical Care Medicine, Augusta, GA 30901-2612 Ph: (706) 774-5713 | Connie A Trello, MD 1350 Walton Way, 3rd Fl Critical Care Medicine, Augusta, GA 30901-2612 Ph: (706) 774-5713 |
Dr. Noelle Alicia Rolle, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1447 Harper St Fl 2, Augusta, GA 30912 Phone: 706-721-8623 | |
Dr. Bryan Richard Broach, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 | |
Dr. Kayla Ashley Shahbazian, DO Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 Fax: 706-721-1459 | |
Dr. Harvey Schwartz, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 | |
Dr. Anam Asif Herekar, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2423 | |
Haley Sorensen, DO Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3186 | |
Dr. Robert Allen Price, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1701 Magnolia Way Ste 101, Augusta, GA 30909 Phone: 706-922-6600 Fax: 706-650-0239 |