| Mr Hernan Dario Urrego, MD | |
|
3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096-4506 | |
| (404) 881-8020 | |
| Not Available |
| Full Name | Mr Hernan Dario Urrego |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 17 Years |
| Location | 3650 Steve Reynolds Blvd, Duluth, 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 |
|---|---|---|---|
| 1316107253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 69267 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Southeast Permanente Medical Group | 6204829013 | 658 |
| 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 | Emory Medical Care Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| Entity Name | Peachtree Surgical & Bariatrics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386785780 PECOS PAC ID: 4981692902 Enrollment ID: O20040506000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Hernan Dario Urrego, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 504-5678 | Mr Hernan Dario Urrego, MD 3650 Steve Reynolds Blvd, Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096-4506 Ph: (404) 881-8020 |
Delquis Rafael Mendoza Jr., M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3970 Rogers Bridge Rd, Duluth, GA 30097 Phone: 404-265-1579 | |
Glenn M Hall Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3855 Pleasant Hill Rd Ste 470, Duluth, GA 30096 Phone: 678-312-7280 | |
Dr. Robert C Fritz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3655 Howell Ferry Rd Ste 200, Duluth, GA 30096 Phone: 770-476-7047 Fax: 408-335-4730 | |
Miss Erjia Bao, MD Surgery Medicare: Medicare Enrolled Practice Location: 11205 Abbotts Walk Dr, Duluth, GA 30097 Phone: 770-365-7337 | |
Micheal A Hall, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3855 Pleasant Hill Rd Ste 470, Duluth, GA 30096 Phone: 678-312-7280 Fax: 678-312-7299 | |
Erica N Proctor, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3855 Pleasant Hill Rd Ste 280, Duluth, GA 30096 Phone: 678-312-7490 Fax: 678-312-7499 |