| Dr Michael Anthony Avidano, MD | |
|
1101 Hospital Dr, Ste 100a, Stockbridge, GA 30281-9076 | |
| (770) 474-7416 | |
| (770) 389-6210 |
| Full Name | Dr Michael Anthony Avidano |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 36 Years |
| Location | 1101 Hospital Dr, Stockbridge, 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 |
|---|---|---|---|
| 1780680462 | NPI | - | NPPES |
| 000674726 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 039722 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Henry Hospital | Stockbridge, GA | Hospital |
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Atlanta Ear Nose And Throat Pc | 7113908302 | 12 |
| Aylo Health, Llc | 8022901925 | 92 |
| Entity Name | Aylo Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013018811 PECOS PAC ID: 8022901925 Enrollment ID: O20040204000918 |
| Entity Name | South Atlanta Ear Nose & Throat Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548697196 PECOS PAC ID: 7113908302 Enrollment ID: O20131231000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Anthony Avidano, MD 1101 Hospital Dr, Suite 100a, Stockbridge, GA 30281-9075 Ph: (770) 474-7416 | Dr Michael Anthony Avidano, MD 1101 Hospital Dr, Ste 100a, Stockbridge, GA 30281-9076 Ph: (770) 474-7416 |
Dr. Howard Kenneth Herman, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 830 Eagles Landing Pkwy Ste 102, Stockbridge, GA 30281 Phone: 770-389-0000 Fax: 770-389-0168 | |
Matthew E Karen, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1365 Rock Quarry Rd Ste 300, Stockbridge, GA 30281 Phone: 770-740-1860 | |
Dr. Harold William Moss, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1101 Hospital Dr, Ste 100a, Stockbridge, GA 30281 Phone: 770-474-7416 Fax: 770-389-6210 | |
Aaron Michael Fletcher, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1106 Hospital Dr, Stockbridge, GA 30281 Phone: 678-902-9495 Fax: 678-815-1548 | |
Dr. Gary S Flom, MD FACS FAAP Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 797 Deerwood Dr, Stockbridge, GA 30281 Phone: 770-500-9336 | |
Dr. Blanca Ileana Durand, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1101 Hospital Dr, Ste 100a, Stockbridge, GA 30281 Phone: 770-474-7416 Fax: 770-389-6210 |