| Reema Mallick, MD | |
|
1040 Eagle's Landing Parkway, Suite 100, Stockbridge, GA 30281 | |
| (770) 474-7287 | |
| (770) 389-3713 |
| Full Name | Reema Mallick |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 1040 Eagle's Landing Parkway, Stockbridge, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093098824 | NPI | - | NPPES |
| 003227593A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 60507 (Minnesota) | Secondary |
| 208600000X | Surgery | 36039 (Alabama) | Secondary |
| 208600000X | Surgery | 83461 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Henry Hospital | Stockbridge, GA | Hospital |
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Surgery South Pc | 5991786725 | 4 |
| Health Services Of Central Georgia | 9638076730 | 235 |
| Entity Name | Health Services Of Central Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184679482 PECOS PAC ID: 9638076730 Enrollment ID: O20031217000270 |
| Entity Name | Surgery South Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861527616 PECOS PAC ID: 5991786725 Enrollment ID: O20040527000729 |
| Mailing Address | Practice Location Address |
|---|---|
| Reema Mallick, MD 1040 Eagle's Landing Parkway, Suite 100, Stockbridge, GA 30281 Ph: (770) 474-7287 | Reema Mallick, MD 1040 Eagle's Landing Parkway, Suite 100, Stockbridge, GA 30281 Ph: (770) 474-7287 |
Dr. Ahmad Ibn Nuriddin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1040 Eagles Landing Pkwy, Suite 100, Stockbridge, GA 30281 Phone: 770-474-7287 Fax: 770-389-3713 | |
Jarrod D Day, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 350 Country Club Dr, Suite A, Stockbridge, GA 30281 Phone: 770-692-4000 Fax: 770-692-2400 | |
Karthik Bhat, MD Surgery Medicare: Medicare Enrolled Practice Location: 191 Medical Blvd, Stockbridge, GA 30281 Phone: 678-604-5015 | |
Dr. Brian S Myers, M.D., F.A.C.S. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1040 Eagles Landing Pkwy, Suite 100, Stockbridge, GA 30281 Phone: 770-474-7287 Fax: 770-389-3713 | |
Jose L. Fernandez-gerena, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1040 Eagles Landing Parkway, Suite 100, Stockbridge, GA 30281 Phone: 770-474-7287 Fax: 770-389-3713 | |
Dr. Gregory L Erdelyan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1104 Hospital Dr, Stockbridge, GA 30281 Phone: 678-289-2003 Fax: 678-289-0191 |