Anthony D Mancuso, MD | |
1 Meadows Pkwy, Vidalia, GA 30474-8759 | |
(912) 538-5359 | |
(912) 538-5228 |
Full Name | Anthony D Mancuso |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 23 Years |
Location | 1 Meadows Pkwy, Vidalia, 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 |
---|---|---|---|
1952393258 | NPI | - | NPPES |
64098015 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 39238 (Kentucky) | Secondary |
207L00000X | Anesthesiology | 074890 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sunrise Hospital And Medical Center | Las vegas, NV | Hospital |
Mountainview Hospital | Las vegas, NV | Hospital |
Summerlin Hospital Medical Center | Las vegas, NV | Hospital |
Saint Rose Dominican Hospitals - San Martin Campus | Las vegas, NV | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fielden,hanson,isaacs,miyada,robison,yeh Ltd | 5799683462 | 145 |
Entity Name | Fielden,hanson,isaacs,miyada,robison,yeh Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699710749 PECOS PAC ID: 5799683462 Enrollment ID: O20031219000623 |
Mailing Address | Practice Location Address |
---|---|
Anthony D Mancuso, MD Po Box 1303, Vidalia, GA 30475-1303 Ph: (912) 538-5359 | Anthony D Mancuso, MD 1 Meadows Pkwy, Vidalia, GA 30474-8759 Ph: (912) 538-5359 |
Frank Gibase, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5359 Fax: 912-538-5228 | |
Dr. Julie Ann Fitzgerald, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5053 | |
Laila Mozdab, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-538-5359 Fax: 912-538-5228 | |
George A Ferrara, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1703 Meadows Ln, Vidalia, GA 30474 Phone: 912-538-5359 Fax: 912-538-5228 | |
Milca Altineus Ejimone, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555 |