| Dr Jeffrey M Reilly, MD | |
|
61 Whitcher Street Ne, Suite 2100, Marietta, GA 30060 | |
| (770) 423-0595 | |
| (770) 874-1614 |
| Full Name | Dr Jeffrey M Reilly |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 61 Whitcher Street Ne, Marietta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760475586 | NPI | - | NPPES |
| 000818925A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 047018 (Georgia) | Primary |
| Entity Name | Kennestone Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649248626 PECOS PAC ID: 3870490816 Enrollment ID: O20031217000515 |
| Entity Name | Wellstar Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey M Reilly, MD 100 Stoneforest Dr Ste 130, Woodstock, GA 30189-4881 Ph: (770) 423-0595 | Dr Jeffrey M Reilly, MD 61 Whitcher Street Ne, Suite 2100, Marietta, GA 30060 Ph: (770) 423-0595 |
Dr. Madhavi Jordan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne, Suit 130, Marietta, GA 30060 Phone: 770-428-0462 Fax: 770-427-8001 |
Dr. David H. Hafner, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 61 Whitcher Street Ne, Suite 2100, Marietta, GA 30060 Phone: 770-423-0595 Fax: 770-874-1614 |
Robert A. Underwood, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 598 Nancy St Nw Ste 250, Marietta, GA 30060 Phone: 770-428-3713 Fax: 770-426-0730 |
Dr. Daniella Barker Kington, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 130, Marietta, GA 30060 Phone: 770-428-0462 |
Mary Catherine Goodwin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 702 Canton Rd Ne, Marietta, GA 30060 Phone: 770-428-4486 |
Mark Esshaki, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 55 Whitcher St Ne Ste 130, Marietta, GA 30060 Phone: 770-428-0462 Fax: 770-427-8001 |
Dr. John Tucker, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 790 Church St Ne, Suite 570, Marietta, GA 30060 Phone: 770-428-0462 Fax: 770-427-8001 |