Dr Edward Scott Gronka, MD | |
874 W Lanier Ave, One Prestige Park Suite 100, Fayetteville, GA 30214-1511 | |
(770) 461-4000 | |
(770) 461-2790 |
Full Name | Dr Edward Scott Gronka |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 39 Years |
Location | 874 W Lanier Ave, Fayetteville, 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 |
---|---|---|---|
1306838099 | NPI | - | NPPES |
00502433A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | 035431 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advanced Aesthetics, P.c | 0840271482 | 5 |
Entity Name | Advanced Aesthetics, P.c |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144212846 PECOS PAC ID: 0840271482 Enrollment ID: O20040528000279 |
Entity Name | Ctca Physicians Group Of Georgia, Llc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117 |
Mailing Address | Practice Location Address |
---|---|
Dr Edward Scott Gronka, MD 874 W Lanier Ave, One Prestige Park Suite 100, Fayetteville, GA 30214-1511 Ph: (770) 461-4000 | Dr Edward Scott Gronka, MD 874 W Lanier Ave, One Prestige Park Suite 100, Fayetteville, GA 30214-1511 Ph: (770) 461-4000 |
Dr. Joel M Stewart Jr., M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 874 Lanier Ave W, Suite 100, Fayetteville, GA 30214 Phone: 770-714-7802 Fax: 770-714-7802 | |
Dr. Paul David Feldman, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 874 W Lanier Ave, Suite 100, Fayetteville, GA 30214 Phone: 770-461-4000 Fax: 770-461-2790 | |
Dr. Joseph Raniere,jr, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 874 W Lanier Ave, One Prestige Park Suite 100, Fayetteville, GA 30214 Phone: 770-461-4000 Fax: 770-461-2790 |