Dr Gary Prusky Grinberg, DO | |
1446 Harper St, Augusta, GA 30912-0012 | |
(706) 721-9442 | |
Not Available |
Full Name | Dr Gary Prusky Grinberg |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 1446 Harper St, Augusta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891352746 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 10974 (Georgia) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 92304 (Georgia) | Primary |
Entity Name | Emergency Coverage Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050411000056 |
Mailing Address | Practice Location Address |
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Dr Gary Prusky Grinberg, DO 3301 Hart Way, Snellville, GA 30039-4688 Ph: (678) 651-9425 | Dr Gary Prusky Grinberg, DO 1446 Harper St, Augusta, GA 30912-0012 Ph: (706) 721-9442 |
Kenny Esho, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 574-850-2999 | |
Janelle Mcgill, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 | |
Kristen Beeler, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1446 Harper St, Augusta, GA 30912 Phone: 706-721-5437 | |
Lorna Evorie Bell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4951 Fax: 706-721-7941 | |
Dr. William Weston Iii, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 93 Bristlecone Ct., Augusta, GA 30909 Phone: 706-736-3704 | |
Dr. Amanda Chaffin, Pediatrics Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-9442 | |
Aaron W Hanna, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1245 Augusta West Pkwy, Augusta, GA 30909 Phone: 706-868-0389 Fax: 706-651-0729 |