Home » Georgia » 30566 » Andrew Bradley Reisman

Andrew Bradley Reisman (MD)

Andrew Bradley Reisman (MD) is a health care provider specializes in Family Medicine. He is associated with medical group practice THE LONGSTREET CLINIC, PC and is affiliated with hospital of Northeast Georgia Medical Center, Inc.

profile-icon Basic Information

Practice Location 4222 Fairbanks Dr, Oakwood, GA 30566-2811, US
Practice Location Phone770-534-6053
Practice Location Fax770-534-6695
GenderMale
Specialty InFamily Medicine
Medical SchoolUniversity Of Miami School Of Medicine
Graduation Year1993
NPI ?1053391490
PECOS ID1052328465
Enrollment IDI20060309000477
Entity TypeIndividual
Enumeration Date ? Jan 20, 2006
Last Update Date ? Jul 19, 2011
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Andrew Bradley Reisman

SpecialtySpecializationLicenseLicense State
Family Medicine 042406Georgia

Medicare-icon Medicare Participation of Andrew Bradley Reisman

Accepts Medicare AssignmentYes
Report Quality MeasuresYes
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Andrew Bradley Reisman

Medical Group PracticeThe Longstreet Clinic, Pc
Affiliation 1 Northeast Georgia Medical Center, Inc

legacy-id-icon Legacy Provider IDs of Andrew Bradley Reisman

Provider IdIssuer StateIssuer TypeIssuer
10045366GeorgiaOtherAMERIGROUP
5218658GeorgiaOtherAETNA PPO
80109236GeorgiaOtherRR MEDICARE-GRP # CC4177
52595494GeorgiaOtherBCBS
341309GeorgiaOtherWELLCARE
000716878AGeorgiaMedicaid
0100333GeorgiaOtherUNITED HEALTHCARE
4969623GeorgiaOtherCIGNA