| Dr Ellis Mossaded, MD | |
|
2200 Old Hamilton Pl, Gainesville, GA 30507-7892 | |
| (770) 532-2066 | |
| Not Available |
| Full Name | Dr Ellis Mossaded |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Experience | 41 Years |
| Location | 2200 Old Hamilton Pl, Gainesville, 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 |
|---|---|---|---|
| 1790195261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 74500 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pruitthealth Hospice-gainesville | Gainesville, GA | Hospice |
| Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
| Meadowbrook Health And Rehab | Tucker, GA | Nursing home |
| Arrowhead Health And Rehab | Jonesboro, GA | Nursing home |
| Macon Rehabilitation And Healthcare | Macon, GA | Nursing home |
| Bell Minor Home, The | Gainesville, GA | Nursing home |
| Willowbrooke Court At Lanier Village Estates | Gainesville, GA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Theoria Medical | 5395098339 | 414 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20230105001168 |
| Entity Name | Ctd Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851039762 PECOS PAC ID: 4486025087 Enrollment ID: O20230801004010 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ellis Mossaded, MD 6065 Roswell Rd, Sandy Springs, GA 30328-4011 Ph: (770) 231-3100 | Dr Ellis Mossaded, MD 2200 Old Hamilton Pl, Gainesville, GA 30507-7892 Ph: (770) 532-2066 |
Mr. Robert W Klassen, MD General Practice Medicare: Medicare Enrolled Practice Location: 100 Spring St, Gainesville, GA 30501 Phone: 770-532-3700 Fax: 770-532-0059 | |
Dr. Carlos Castilo Tan, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3 Washington Ave, Gainesville, GA 30501 Phone: 770-503-0221 Fax: 770-503-0023 | |
Miss Christine Oleg Sykalo, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne Ste 710, Gainesville, GA 30501 Phone: 770-219-8730 | |
Jason Burch, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 8855 Bethel Rd, Gainesville, GA 30506 Phone: 518-232-8993 | |
Rodolfo Bartolome Carrillo Sr., MD General Practice Medicare: Medicare Enrolled Practice Location: 420 Broad St Se, Gainesville, GA 30501 Phone: 770-536-8885 Fax: 770-536-8725 | |
Alexander Juston Santos, DO General Practice Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8730 | |
Muhammad Mufty, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 |