| Dr Jeffrey Desalvo, MD | |
|
1200 Northside Forsyth Dr, Cumming, GA 30041-7659 | |
| (770) 844-3200 | |
| (404) 851-6325 |
| Full Name | Dr Jeffrey Desalvo |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 23 Years |
| Location | 1200 Northside Forsyth Dr, Cumming, 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 |
|---|---|---|---|
| 1043308877 | NPI | - | NPPES |
| 932960763J | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 54264 (Georgia) | Secondary |
| 208M00000X | Hospitalist | 054264 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Agape Hospice Of Northeast Georgia | Lawrenceville, GA | Hospice |
| Agape Hospice Care Of Carrollton, Llc | Villa rica, GA | Hospice |
| Northside Hospital Forsyth | Cumming, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Atlanta Professional Services Llc | 0840291944 | 374 |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | North Atlanta Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey Desalvo, MD 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 Ph: (770) 844-3200 | Dr Jeffrey Desalvo, MD 1200 Northside Forsyth Dr, Cumming, GA 30041-7659 Ph: (770) 844-3200 |
Ketan M. Patel, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200 Fax: 404-851-6325 | |
Dr. Michael C. Sergeant, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200 Fax: 404-851-6325 | |
Dr. Thomas Joseph Carollo Jr., M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200 Fax: 404-851-6325 | |
Dr. Usha Bangalore Krishnappa, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 404-844-3200 Fax: 404-851-6325 | |
Dr. Thanh Nguyen, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Northside Forsyth Dr, Cumming, GA 30041 Phone: 770-844-3200 Fax: 770-844-3227 |