| Mr Mervyn B Forman, MD | |
|
755 Mount Vernon Hwy Ne Ste 530, Sandy Springs, GA 30328-4287 | |
| (404) 252-7970 | |
| (404) 250-0553 |
| Full Name | Mr Mervyn B Forman |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 52 Years |
| Location | 755 Mount Vernon Hwy Ne Ste 530, Sandy Springs, 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 |
|---|---|---|---|
| 1215027461 | NPI | - | NPPES |
| 000526446D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 035873 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cardiology Of Atlanta | 6608957469 | 3 |
| Entity Name | Mervyn B. Forman M.D., L.l.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912165382 PECOS PAC ID: 4385715002 Enrollment ID: O20080624000087 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mervyn B Forman, MD 755 Mount Vernon Hwy Ne Ste 530, Sandy Springs, GA 30328-4287 Ph: (404) 252-7970 | Mr Mervyn B Forman, MD 755 Mount Vernon Hwy Ne Ste 530, Sandy Springs, GA 30328-4287 Ph: (404) 252-7970 |
Dr. Robert L. Stahl, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 525 Riverside Pkwy Nw, Sandy Springs, GA 30328 Phone: 404-932-6191 |
Dr. Aaron Michael Hein, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 5673 Peachtree Dunwoody Rd Ste 775, Sandy Springs, GA 30342 Phone: 404-251-2400 |
Dr. Ralph Lewis Haynes, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 5665 Peachtree Dunwoody Rd, Sandy Springs, GA 30342 Phone: 404-778-7726 |
Stuart Jay Toporoff, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 6115 Peachtree Dunwoody Road, Suite 300, Sandy Springs, GA 30328 Phone: 678-320-3600 |
Dr. Anurag Sahu, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 20 Glenlake Parkway Ne, Medical Office Building, Sandy Springs, GA 30328 Phone: 404-365-0966 |
Henry Makepeace, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6135 Barfield Rd Ste 200, Sandy Springs, GA 30328 Phone: 404-256-8500 Fax: 404-256-8506 |
Dazhong Sun, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 6115 Peachtree Dunwoody Rd Ste 300, Sandy Springs, GA 30328 Phone: 678-320-3600 |