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Tewodros Adane Alemu

Internal Medicine

Allopathic & Osteopathic Physicians

743 Spring St NE, Gainesville, GA 30501-3715

PECOS Enrollment

This provider is enrolled in PECOS as TEWODROS ALEMU.

Based on the most recent information from CMS, provider Tewodros Adane Alemu 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
1972039998
Provider Type
Individual
Full Name
Alemu, Tewodros Adane
Title
Dr.
Credential
MBBS MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/11/2017
Last Updated
3/7/2024

Contact Information

Practice Location

743 Spring St NE, Gainesville, GA 30501-3715

(770) 219-9000

Unlisted Fax

Mailing Location

PO Box 742616, Atlanta, GA 30374-2616

(770) 219-8420

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 85795 Georgia
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License 85795 Georgia

Tewodros Adane Alemu

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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