| Omid Midanaky, PA-C | |
|
2801 N Decatur Rd, Decatur, GA 30033-5949 | |
| (404) 296-5055 | |
| Not Available |
| Full Name | Omid Midanaky |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 2801 N Decatur Rd, Decatur, 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 |
|---|---|---|---|
| 1972021962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8538 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emory Decatur Hospital | Decatur, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dekalb Orthopaedic Clinic | 5597750018 | 2 |
| Entity Name | Dekalb Orthopaedic Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528174430 PECOS PAC ID: 5597750018 Enrollment ID: O20040415000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Omid Midanaky, PA-C 810 Whisperwood Trl, Acworth, GA 30102-7586 Ph: (404) 704-2813 | Omid Midanaky, PA-C 2801 N Decatur Rd, Decatur, GA 30033-5949 Ph: (404) 296-5055 |
Mr. Ronald Gene Sanders Ii, RONALD SANDERS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4325 Old Lake Dr, Decatur, GA 30034 Phone: 770-843-0929 |
Ms. Carol T Mcclendon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 |
Rhea V Douglas, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1951 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-4600 Fax: 404-320-0987 |
Michael C. Martin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 315 W Ponce De Leon Ave Ste 110, Decatur, GA 30030 Phone: 404-537-2521 |
Allyson Ashton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000 |
Amanda Singh, M.P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2675 N Decatur Rd, Decatur, GA 30033 Phone: 404-299-1678 |
Allison Ely, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 258 Forkner Dr Apt 6, Decatur, GA 30030 Phone: 801-857-9722 |