Dr Daryl O Crenshaw, MD | |
334 Smith Ave, Thomasville, GA 31792-5533 | |
(229) 227-1595 | |
(229) 227-1385 |
Full Name | Dr Daryl O Crenshaw |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 24 Years |
Location | 334 Smith Ave, Thomasville, 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 |
---|---|---|---|
1528123965 | NPI | - | NPPES |
720019553H | Medicaid | GA | |
720019553D | Medicaid | GA | |
720019553A | Medicaid | GA | |
720019553I | Medicaid | GA | |
720019553F | Medicaid | GA | |
720019553B | Medicaid | GA | |
720019553C | Medicaid | GA | |
720019553G | Medicaid | GA | |
720019553E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 56036 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Rcg Thomasville | Thomasville, GA | Dialysis facility |
John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
Colquitt Regional Medical Center | Moultrie, GA | Hospital |
Grady General Hospital | Cairo, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nephrology Medical Associates Of Georgia, Llc | 5991600629 | 16 |
Entity Name | Nephrology Medical Associates Of Georgia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740706951 PECOS PAC ID: 5991600629 Enrollment ID: O20171026000708 |
Mailing Address | Practice Location Address |
---|---|
Dr Daryl O Crenshaw, MD 334 Smith Ave, Thomasville, GA 31792-5533 Ph: (229) 227-1595 | Dr Daryl O Crenshaw, MD 334 Smith Ave, Thomasville, GA 31792-5533 Ph: (229) 227-1595 |
Dr. Prashant Baliga, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-8575 | |
Keerthi Kiran Ponugoti, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2705 E Pinetree Blvd Ste C, Thomasville, GA 31792 Phone: 229-584-5731 Fax: 229-584-5941 | |
William W Ellis, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-551-0083 Fax: 229-227-9642 | |
Dr. Raul Gabriel Santos, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 334 Smith Ave, Thomasville, GA 31792 Phone: 229-227-1595 Fax: 229-227-1385 | |
Dr. Asif Rashid Shah, MBBS Nephrology Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-8575 | |
Dr. Luis Alfredo Wulff, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 119 W Hill St, Thomasville, GA 31792 Phone: 229-225-1900 | |
Robert D Miles Jr., M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-551-0083 Fax: 229-227-9642 |