| Dr Robert O'connell, MD | |
|
150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 | |
| (770) 834-0873 | |
| (770) 834-6118 |
| Full Name | Dr Robert O'connell |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 11 Years |
| Location | 150 Clinic Ave Ste 101, Carrollton, 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 |
|---|---|---|---|
| 1063832020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 97890 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
| Tanner Medical Center Villa Rica | Villa rica, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carrollton Orthopaedic Clinic Pc | 7810989183 | 29 |
| Entity Name | Carrollton Orthopaedic Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356483747 PECOS PAC ID: 7810989183 Enrollment ID: O20040330001027 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert O'connell, MD 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 Ph: (770) 834-0873 | Dr Robert O'connell, MD 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 Ph: (770) 834-0873 |
Dr. Jubal R Watts, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 150 Clinic Ave, Ste 101, Carrollton, GA 30117 Phone: 770-834-0873 Fax: 770-834-6118 | |
Melanie Jordan, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 150 Clinic Ave, Suite 101, Carrollton, GA 30117 Phone: 678-601-5220 | |
Shomari Andre Ruffin, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 150 Clinic Ave, Suite 101, Carrollton, GA 30117 Phone: 770-834-0873 Fax: 770-834-6118 | |
Dr. Gregory S Slappey, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 150 Clinic Ave, Suite 101, Carrollton, GA 30117 Phone: 770-834-0873 | |
Daniel Lee Maxwell, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 150 Clinic Ave Ste 101, Carrollton, GA 30117 Phone: 770-834-0873 Fax: 770-834-6118 | |
Dr. Taylor Brandon Cates, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 150 Clinic Ave, Suite 101, Carrollton, GA 30117 Phone: 770-834-0873 Fax: 770-834-6118 |