Brandon H Anderson, MD | |
163 S Tallahassee St, Hazlehurst, GA 31539-6465 | |
(912) 375-7781 | |
(912) 375-4055 |
Full Name | Brandon H Anderson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 27 Years |
Location | 163 S Tallahassee St, Hazlehurst, 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 |
---|---|---|---|
1063491637 | NPI | - | NPPES |
00856391K | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 048138 (Georgia) | Primary |
207P00000X | Emergency Medicine | ME82728 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Paragon Emergency Services Llc | 8628153087 | 214 |
Entity Name | Paragon Emergency Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
Entity Name | St Luke's Emergency Care Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871762013 PECOS PAC ID: 5597843847 Enrollment ID: O20080428000133 |
Mailing Address | Practice Location Address |
---|---|
Brandon H Anderson, MD Po Box 277329, Atlanta, GA 30384-7329 Ph: (800) 377-8721 | Brandon H Anderson, MD 163 S Tallahassee St, Hazlehurst, GA 31539-6465 Ph: (912) 375-7781 |
Leroy Winfield Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-375-7781 Fax: 912-375-4055 | |
William C. Chisholm, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-375-7781 Fax: 912-375-4055 | |
Emmanuel A. Opanuga, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-375-7781 Fax: 912-375-4055 | |
Vijay K. Mahathre, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-375-7781 Fax: 912-375-4055 | |
Dr. Roger John Venable, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-375-7781 | |
John J Rogers, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-375-7781 |