Dr Dale R Erwin, MD | |
1250 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501-3865 | |
(770) 531-2444 | |
(770) 534-9877 |
Full Name | Dr Dale R Erwin |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 1250 Jesse Jewell Pkwy Se Ste 500, Gainesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578651782 | NPI | - | NPPES |
000466331E | Medicaid | GA | |
1578651782 | Other | GA | RAILROAD MEDICARE |
89066X5 | Medicaid | NC | |
GRP7496 | Other | GA | MEDICARE GRP PROV # |
000466331F | Medicaid | GA | |
1457553968 | Other | GA | RAILROAD MEDICARE GROUP NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 028974 (Georgia) | Primary |
Entity Name | Gainesville Imaging Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457553968 PECOS PAC ID: 6507887924 Enrollment ID: O20051213000852 |
Entity Name | Blue Ridge Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174159461 PECOS PAC ID: 3971934704 Enrollment ID: O20200512001674 |
Mailing Address | Practice Location Address |
---|---|
Dr Dale R Erwin, MD Po Box 2438, Gainesville, GA 30503-2438 Ph: (770) 531-2444 | Dr Dale R Erwin, MD 1250 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501-3865 Ph: (770) 531-2444 |
Kimberely J Windham-cope, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Dr. Scott M Stephen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Dr. Ajay Kumar Ravi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Ms. Neha Agrawal, Radiology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 | |
Dr. Lee A Martin Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Dr. Brian P Gay, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 425 Broad St Se, Suite 102, Gainesville, GA 30501 Phone: 770-718-9776 Fax: 770-718-1910 | |
Dr. David Lawrence Kimball, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-539-9391 Fax: 770-533-4701 |