| Dr John P Gorecki, MD | |
|
1100 Northside Forsyth Dr, Suite 310, Cumming, GA 30041-6012 | |
| (678) 730-7796 | |
| (678) 730-7786 |
| Full Name | Dr John P Gorecki |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 43 Years |
| Location | 1100 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 |
|---|---|---|---|
| 1003814716 | NPI | - | NPPES |
| 372501099B | Medicaid | GA | |
| 100387000A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 0429019 (Kansas) | Secondary |
| 207T00000X | Neurological Surgery | 62853 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pruitthealth At Home - Cumming | Cumming, GA | Home health agency |
| Northside Hospital Forsyth | Cumming, GA | Hospital |
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
| Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Surgical Professional Services Llc | 8628253424 | 365 |
| Entity Name | Northeast Georgia Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
| Entity Name | Northside Surgical Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John P Gorecki, MD 33 Buford Village Way, Suite 325, Buford, GA 30518-8843 Ph: (678) 730-7796 | Dr John P Gorecki, MD 1100 Northside Forsyth Dr, Suite 310, Cumming, GA 30041-6012 Ph: (678) 730-7796 |