| Wilmer M Balaoing, MD | |
|
4441 Atlanta Rd Se, Smyrna, GA 30080-6406 | |
| (770) 702-1806 | |
| (770) 693-0810 |
| Full Name | Wilmer M Balaoing |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 27 Years |
| Location | 4441 Atlanta Rd Se, Smyrna, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225024409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 56517 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Cobb Hospital | Austell, GA | Hospital |
| Wellstar North Fulton Hospital | Roswell, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mak Anesthesia Holdings, Llc | 4284917204 | 169 |
| Mak Anesthesia Georgia, Llc | 7315203718 | 92 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Entity Name | Mak Anesthesia Northside Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
| Mailing Address | Practice Location Address |
|---|---|
| Wilmer M Balaoing, MD 150 Lullwater Ct, Roswell, GA 30075-6756 Ph: (770) 650-8272 | Wilmer M Balaoing, MD 4441 Atlanta Rd Se, Smyrna, GA 30080-6406 Ph: (770) 702-1806 |
Tod Rubin, DO Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 4441 Atlanta Rd Se, Smyrna, GA 30080 Phone: 770-702-1806 Fax: 770-693-0810 | |
Frank Demarino, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 4441 Atlanta Rd Se, Smyrna, GA 30080 Phone: 770-702-1806 Fax: 770-693-0810 | |
Yetunde O. Olutunmbi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3023 Montclair Cir Se, Smyrna, GA 30080 Phone: 716-807-1295 | |
Vinai Madhure Vishwanath, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-438-5229 Fax: 770-438-4356 | |
Richard C Jarrell, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-438-5229 Fax: 770-438-4356 |