Look up the most recent NPI and PECOS records

Michael Skardasis

Internal Medicine

Allopathic & Osteopathic Physicians

1192 Buckhead Xing, Suite E, Woodstock, GA 30189-4254

PECOS Enrollment

Based on the most recent information from CMS, provider Michael Skardasis 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 6 days ago.

Profile Details

Provider ID
1740323468
Provider Type
Individual
Full Name
Skardasis, Michael
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
2/14/2007
Last Updated
3/4/2008

Contact Information

Practice Location

1192 Buckhead Xing, Suite E, Woodstock, GA 30189-4254

(678) 494-4450

(678) 494-6265

Mailing Location

1192 Buckhead Xing, Suite E, Woodstock, GA 30189-4254

(678) 494-4450

(678) 494-4626

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 038096 Georgia

Michael Skardasis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

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