| Jennifer Berman, | |
|
2701 N Decatur Rd, Decatur, GA 30033-5918 | |
| (404) 501-1849 | |
| Not Available |
| Full Name | Jennifer Berman |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 2701 N Decatur Rd, Decatur, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386854768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 059124 (Georgia) | Primary |
| Entity Name | The Bortolazzo Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124073721 PECOS PAC ID: 6608056171 Enrollment ID: O20121126000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Berman, 2100 Powell St, Suite 900, Emeryville, CA 94608-1826 Ph: (510) 350-2663 | Jennifer Berman, 2701 N Decatur Rd, Decatur, GA 30033-5918 Ph: (404) 501-1849 |
Nicholas Ross Gozza, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000 | |
Dr. Richard Edward Wild, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1275 Oak Grove Dr, Decatur, GA 30033 Phone: 404-315-6110 Fax: 404-315-6074 | |
Dr. Richard Yao Chang Kwong, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Department Of Emergency Medicine, Decatur, GA 30033 Phone: 404-501-1000 Fax: 404-501-1765 | |
Dr. Andrew D Jones, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Attn: Stephanie Rowe, Decatur, GA 30033 Phone: 404-501-2650 Fax: 404-501-1765 | |
Tiencia Dorothea James, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1849 | |
Adam Marchak, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-5374 | |
Joy Felicia Slade, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2701 North Decatur Road, Decatur, GA 30033 Phone: 404-501-1849 |