| Jason L Konzelmann, MD | |
|
743 Spring St Ne, Gainesville, GA 30501-3899 | |
| (678) 357-9327 | |
| Not Available |
| Full Name | Jason L Konzelmann |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 743 Spring St Ne, Gainesville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891845590 | NPI | - | NPPES |
| 202I935064 | Other | GA | MEDICARE OF GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 59990 (Georgia) | Primary |
| Entity Name | Union County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487684122 PECOS PAC ID: 3779490503 Enrollment ID: O20040102000231 |
| Entity Name | Georgia Emergency Department Services, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508886912 PECOS PAC ID: 5597751032 Enrollment ID: O20040517001016 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason L Konzelmann, MD P.o. Box 6002, Urbana, IL 61803-6002 Ph: (217) 326-8300 | Jason L Konzelmann, MD 743 Spring St Ne, Gainesville, GA 30501-3899 Ph: (678) 357-9327 |
Jacob Leedekerken, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-1200 | |
Dr. Sharani Umayangani Jayaratne, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-1200 | |
Dr. Keith Edwin Leap Ii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 786-357-9327 | |
Dr. Philippe Gadegbeku, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146 Fax: 770-536-7895 | |
Dr. George Houlditch, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146 | |
Heather Holstein, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 | |
Jason Sanghwa Oh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 |