Dr Bruce M Gioia, MD | |
388 S Main St, Baxley, GA 31513 | |
(912) 705-0781 | |
(912) 705-0154 |
Full Name | Dr Bruce M Gioia |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 388 S Main St, Baxley, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427095827 | NPI | - | NPPES |
000622036 | Medicaid | GA | |
1427095827 | Other | GA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 038774 (Georgia) | Secondary |
207R00000X | Internal Medicine | 038774 (Georgia) | Primary |
Entity Name | Erx Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760823082 PECOS PAC ID: 9335037571 Enrollment ID: O20130930000326 |
Entity Name | Advanced Medical Resources Of Wayne County, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396140497 PECOS PAC ID: 9638498140 Enrollment ID: O20150505002320 |
Entity Name | Southland Dodge Emergency Medical Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851958607 PECOS PAC ID: 8224360805 Enrollment ID: O20191031001338 |
Entity Name | Southland Dodge Hospitalist Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346894334 PECOS PAC ID: 7113259664 Enrollment ID: O20191101001455 |
Mailing Address | Practice Location Address |
---|---|
Dr Bruce M Gioia, MD 388 S Main St, Baxley, GA 31513-0104 Ph: (912) 705-0781 | Dr Bruce M Gioia, MD 388 S Main St, Baxley, GA 31513 Ph: (912) 705-0781 |
Dr. Mary Kathryn Mcmahan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 163 E Tollison St, Baxley, GA 31513 Phone: 912-367-9841 Fax: 912-367-7203 | |
Dr. Errol G Graham, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 E Tollison St Ste C, Baxley, GA 31513 Phone: 912-367-4122 Fax: 912-367-4136 | |
Dr. Michael Glenn Moss, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 654 S Main St, Baxley, GA 31513 Phone: 912-367-4122 Fax: 912-367-4136 | |
Orlando V Fernando, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 E Tollison St Ste B, Baxley, GA 31513 Phone: 912-367-0102 Fax: 912-367-9966 |