Antonio M De La Luz, MD | |
777 Hemlock St, Msc10, Macon, GA 31201-2102 | |
(478) 633-1146 | |
Not Available |
Full Name | Antonio M De La Luz |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 777 Hemlock St, Macon, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275637373 | NPI | - | NPPES |
00361391D | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 28967 (Georgia) | Primary |
Entity Name | Central Georgia Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598126641 PECOS PAC ID: 5991004608 Enrollment ID: O20160502001926 |
Mailing Address | Practice Location Address |
---|---|
Antonio M De La Luz, MD 2490 Riverside Dr, Ste B, Macon, GA 31204-1787 Ph: (478) 633-6633 | Antonio M De La Luz, MD 777 Hemlock St, Msc10, Macon, GA 31201-2102 Ph: (478) 633-1146 |
Dr. Allison Harriott, MD MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 350 Hospital Dr, Macon, GA 31217 Phone: 478-765-7000 | |
Dr. Philip Enrique Chung, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1550 College St, Macon, GA 31207 Phone: 678-790-0729 | |
Lisa Kirkland, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 350 Hospital Dr, Macon, GA 31217 Phone: 770-994-9326 Fax: 770-994-4747 | |
Lloyd Harrington, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Msc 10, Macon, GA 31201 Phone: 478-633-7707 | |
Rao Chapala, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Charter Blvd Medical Building, Macon, GA 31210 Phone: 478-756-6131 | |
Nalini Ramaiya, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2410 Ingleside Ave, Macon, GA 31204 Phone: 478-845-7462 Fax: 855-791-3372 | |
Andrew Bernstein, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 College Street, Macon, GA 31201 Phone: 478-301-2600 |