| Ioan Adrian Todorut, | |
|
3941 Pine Gorge Ct, Dacula, GA 30019-4502 | |
| (770) 865-8647 | |
| Not Available |
| Full Name | Ioan Adrian Todorut |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3941 Pine Gorge Ct, Dacula, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265123509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 11742 (Georgia) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Entity Name | Peachtree Immediate Care FP, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Entity Name | Gwinnett Emergency Specialists PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437346467 PECOS PAC ID: 0840373619 Enrollment ID: O20080218000080 |
| Entity Name | Gwinnett Emergency Specialists Observation Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720373129 PECOS PAC ID: 7618140955 Enrollment ID: O20111101000364 |
| Mailing Address | Practice Location Address |
|---|---|
| Ioan Adrian Todorut, 3941 Pine Gorge Ct, Dacula, GA 30019-4502 Ph: (770) 865-8647 | Ioan Adrian Todorut, 3941 Pine Gorge Ct, Dacula, GA 30019-4502 Ph: (770) 865-8647 |
Leona Beth Arnold, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3625 Braselton Hwy Ste 204, Dacula, GA 30019 Phone: 770-615-6100 |
David Robert Peck, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 852 Dacula Rd, Dacula, GA 30019 Phone: 770-848-6190 Fax: 770-848-5367 |
Varin Sachhathep, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2075 Hamilton Creek Pkwy Ste 200, Dacula, GA 30019 Phone: 770-586-0300 |
Mrs. Oana Sonia Ciurea, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4285 Jim Moore Rd Ste 200, Dacula, GA 30019 Phone: 770-442-1911 |
Caio Augusto C Da Silva, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 852 Dacula Rd, Dacula, GA 30019 Phone: 678-983-9177 |
Rayna Elizabeth Dyke, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3317 Holly Glen Dr, Dacula, GA 30019 Phone: 678-783-9840 |
Disha Patel, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4285 Jim Moore Rd # 200, Dacula, GA 30019 Phone: 770-442-1911 |