| Dakotah Rose Forell, | |
|
667 Church St Ne, Marietta, GA 30060-1101 | |
| (770) 793-5000 | |
| Not Available |
| Full Name | Dakotah Rose Forell |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 6 Years |
| Location | 667 Church St Ne, Marietta, 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 |
|---|---|---|---|
| 1235692146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2904 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Decatur Morgan Hospital - Decatur Campus | Decatur, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Decatur Morgan Emergency Medicine | 0446680862 | 26 |
| Entity Name | Paragon Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756 |
| Entity Name | Emergency Services Of Montgomery Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528310323 PECOS PAC ID: 6608028204 Enrollment ID: O20121205000519 |
| Entity Name | Emergency Services Of Mobile, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013269802 PECOS PAC ID: 5092968255 Enrollment ID: O20130122000092 |
| Entity Name | Decatur Morgan Emergency Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316571615 PECOS PAC ID: 0446680862 Enrollment ID: O20200424001929 |
| Mailing Address | Practice Location Address |
|---|---|
| Dakotah Rose Forell, 667 Church St Ne, Marietta, GA 30060-1101 Ph: () - | Dakotah Rose Forell, 667 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 793-5000 |
Keri Leigh Seamon, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 677 Church Street, Attn: Gme, Marietta, GA 30060 Phone: 678-850-6212 | |
Joseph J Braintwain, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1121 Johnson Ferry Rd, Suite 100, Marietta, GA 30068 Phone: 770-509-1025 | |
Dr. Rakesh Rasiklal Shah, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 Oak Forest Circle, Marietta, GA 30062 Phone: 404-697-5625 Fax: 888-669-9073 | |
Michelle Elizabeth Dehaven, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Cherry St Ne, Marietta, GA 30060 Phone: 770-793-5700 | |
William E Richardson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 950 Cobb Pkwy S, #191, Marietta, GA 30060 Phone: 770-419-4471 Fax: 770-419-4473 | |
Patrick Kamba, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5000 | |
Marianne Taryla, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 61 Whitcher St Ne, Suite 2150, Marietta, GA 30060 Phone: 770-422-4268 |