Dr Benjamin S Ulmer, MD | |
1120 15th St Dept Of, Augusta, GA 30912-6302 | |
(706) 721-3871 | |
Not Available |
Full Name | Dr Benjamin S Ulmer |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 37 Years |
Location | 1120 15th St Dept Of, Augusta, 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 |
---|---|---|---|
1922021724 | NPI | - | NPPES |
TL4145 | Medicaid | SC | |
050018300 | Other | SC | RRB |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 15455 (South Carolina) | Secondary |
207L00000X | Anesthesiology | 15455 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Au Medical Center | Augusta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Au Medical Associates Anesthesia Billing Services, Llc | 1557256393 | 77 |
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Au Medical Associates Anesthesia Billing Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801843933 PECOS PAC ID: 1557256393 Enrollment ID: O20040219000488 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Dr Benjamin S Ulmer, MD P O Box 7397, Aiken, SC 29804-7397 Ph: (336) 553-1659 | Dr Benjamin S Ulmer, MD 1120 15th St Dept Of, Augusta, GA 30912-6302 Ph: (706) 721-3871 |
Rosa Maria Lopez Rincon, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-446-5836 | |
Yulia Kungurova, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1120 15th St # Bi-2183, Augusta, GA 30912 Phone: 706-721-0180 | |
Richard E. Lynch, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 804 Scott Nixon Memorial Dr, Attn: Provider Enrollment, Augusta, GA 30907 Phone: 800-394-4445 Fax: 706-955-0735 | |
Dr. Edward Kurt Leahy, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 | |
Dr. Marshall D. Bedder, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3813 | |
Dr. John William Whiteley, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 | |
Sami Mohammad Hafsa, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3871 |