| Merrill Depetrillo, NP | |
|
1266 Highway 515 S, Jasper, GA 30143-4872 | |
| (706) 692-2441 | |
| Not Available |
| Full Name | Merrill Depetrillo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 30 Years |
| Location | 1266 Highway 515 S, Jasper, 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 |
|---|---|---|---|
| 1366458192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN108911 (Georgia) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | RN108911 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Mountainside Hospital Inc | Jasper, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Cardiology Of Atlanta, Llc | 0345321691 | 478 |
| Entity Name | Piedmont Cardiology of Atlanta, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275729691 PECOS PAC ID: 0345321691 Enrollment ID: O20080114000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Merrill Depetrillo, NP 6010 Riley Rd, Cumming, GA 30028-5927 Ph: Not Available | Merrill Depetrillo, NP 1266 Highway 515 S, Jasper, GA 30143-4872 Ph: (706) 692-2441 |
Mrs. Amy Marie Wheeler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 134 Mountainside Village Pkwy Bldg 500, Jasper, GA 30143 Phone: 404-355-3200 Fax: 404-350-8795 |
Crystal Rice, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80a Interstate South Dr, Jasper, GA 30143 Phone: 770-345-6600 Fax: 770-345-6611 |
Mrs. Mattie Elizabeth Hollar, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 53 Gordon Rd Ste 101, Jasper, GA 30143 Phone: 706-692-9768 Fax: 706-692-4040 |
Trang Mai Nguyen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1020 J L White Dr, Suite 110a, Jasper, GA 30143 Phone: 706-299-2220 |
Dara Carroll, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 175 Samaritan Dr, Jasper, GA 30143 Phone: 706-253-4633 |
Judith Owens, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Noah Dr, Jasper, GA 30143 Phone: 706-253-1954 |
Mrs. Lauren Roese Adams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 51 Gordon Rd, Jasper, GA 30143 Phone: 706-692-9768 |