| Dr Dawit Weldemichael, MD | |
|
304 Shorter Ave Nw Ste 104, Rome, GA 30165-4256 | |
| (706) 232-5650 | |
| Not Available |
| Full Name | Dr Dawit Weldemichael |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 304 Shorter Ave Nw Ste 104, Rome, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386836583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | 075710 (Georgia) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 075710 (Georgia) | Primary |
| Entity Name | Tbj Behavioral Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568633683 PECOS PAC ID: 4981789823 Enrollment ID: O20141120001176 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dawit Weldemichael, MD 420 E 2nd Ave Ste 103, Rome, GA 30161-3210 Ph: (706) 509-3000 | Dr Dawit Weldemichael, MD 304 Shorter Ave Nw Ste 104, Rome, GA 30165-4256 Ph: (706) 232-5650 |
Dr. Erica Monique Call, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 304 Shorter Ave Nw, Rome, GA 30165 Phone: 706-232-5650 | |
Dr. Joseph K Seal, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1 Woodbine Ave Nw, Rome, GA 30165 Phone: 706-314-0019 Fax: 706-314-0343 | |
Prima Briones, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1305 Redmond Cir Nw, Building 103 - Clinical Director's Office, Rome, GA 30165 Phone: 706-295-6285 | |
Dr. Quresh Z Bandukwala, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 314 Shorter Ave Nw, Suite100, Rome, GA 30165 Phone: 706-235-5722 Fax: 706-235-5728 | |
William K Naguszewski, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 126 Three Rivers Dr Ne, Rome, GA 30161 Phone: 706-295-0070 Fax: 706-290-0520 | |
Dr. Felipe Porto De Souza Suplicy, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 705 N Division St Nw, Rome, GA 30165 Phone: 808-489-1187 Fax: 352-265-3285 | |
Jeffrey Thurman Glass, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 550 Redmond Rd Nw, Rome, GA 30165 Phone: 706-233-8512 Fax: 706-233-8513 |