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Mark Jerome Paradela

Internal Medicine

Allopathic & Osteopathic Physicians

1500 Oglethorpe Ave, Suite 3200, Athens, GA 30606-2179

PECOS Enrollment

This provider is enrolled in PECOS as MARK PARADELA.

Based on the most recent information from CMS, provider Mark Jerome Paradela is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 4:18 PM.

Profile Details

Provider ID
1437131596
Provider Type
Individual
Full Name
Paradela, Mark Jerome
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
11/15/2005
Last Updated
9/24/2008

Contact Information

Practice Location

1500 Oglethorpe Ave, Suite 3200, Athens, GA 30606-2179

(706) 549-8931

(706) 549-0088

Mailing Location

1500 Oglethorpe Ave, Suite 3200, Athens, GA 30606-2179

(706) 549-8931

(706) 549-0088

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 049200 Georgia

Provider Identifiers

ID	Description	Issuer
ID 000937736D	Description Medicaid	Issuer Unlisted Georgia

Mark Jerome Paradela

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Olatunji, Grace Oluwaseyi

Cook, Meghan B

G. Steven Chesser Md Pc

Carter, Chelsey Davis

Fleagle, Jane A

Firth, Mark R

Amakye, Dominic Ofosu

Bullecer, May Luz Falcon

Brooks, Albert Patrick

Alexander, Anna