Dr Deepa Sanjay Jagdale, MD | |
699 Furys Ferry Rd, Martinez, GA 30907-9064 | |
(706) 901-7337 | |
(706) 903-5002 |
Full Name | Dr Deepa Sanjay Jagdale |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 699 Furys Ferry Rd, Martinez, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447412184 | NPI | - | NPPES |
003161963F | Medicaid | GA | |
314582 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 31458 (South Carolina) | Secondary |
208000000X | Pediatrics | 003071 (Georgia) | Primary |
Entity Name | Augusta Physicians Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518169168 PECOS PAC ID: 6608977251 Enrollment ID: O20070726000065 |
Entity Name | The Pediatric Office Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629025432 PECOS PAC ID: 7113336462 Enrollment ID: O20210517002477 |
Mailing Address | Practice Location Address |
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Dr Deepa Sanjay Jagdale, MD Csra Peds, 699 Furys Ferry Rd, Martinez, GA 30907-3093 Ph: (706) 901-7337 | Dr Deepa Sanjay Jagdale, MD 699 Furys Ferry Rd, Martinez, GA 30907-9064 Ph: (706) 901-7337 |
Kristi Weinmeister, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4106 Columbia Rd Ste 103, Martinez, GA 30907 Phone: 706-863-1440 | |
Dr. David Robert Charles Fisher, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4106 Columbia Rd, Suite 103, Martinez, GA 30907 Phone: 706-863-1440 Fax: 706-863-5418 | |
Dr. Alan Grant Getts, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4106 Columbia Rd, Suite 103, Martinez, GA 30907 Phone: 706-863-1440 Fax: 706-863-5418 | |
Dr. Yvonne Fry Johnson, MD, MSCR Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 211 Bobby Jones Expy Ste C, Martinez, GA 30907 Phone: 706-364-5533 | |
Dr. Laura D Hartmann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4106 Columbia Rd, Suite 103, Martinez, GA 30907 Phone: 706-863-1440 Fax: 706-863-5418 |