Dr Jack R Eades, MD | |
6501 Peake Rd Ste 1000, Macon, GA 31210-8052 | |
(478) 607-2514 | |
(478) 607-2513 |
Full Name | Dr Jack R Eades |
---|---|
Gender | Male |
Speciality | Allergy/immunology |
Experience | 32 Years |
Location | 6501 Peake Rd Ste 1000, Macon, 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 |
---|---|---|---|
1992890727 | NPI | - | NPPES |
00751264D | Medicaid | GA | |
00751264F | Medicaid | GA | |
G43360 | Medicaid | SC | |
00751264E | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | 20053 (South Carolina) | Secondary |
207K00000X | Allergy & Immunology | 043360 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Southcoast Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467451922 PECOS PAC ID: 9032013271 Enrollment ID: O20040109000192 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Entity Name | Langford Allergy Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215351291 PECOS PAC ID: 6103057054 Enrollment ID: O20140318002105 |
Mailing Address | Practice Location Address |
---|---|
Dr Jack R Eades, MD 6501 Peake Rd Ste 1000, Macon, GA 31210-8052 Ph: (478) 607-2514 | Dr Jack R Eades, MD 6501 Peake Rd Ste 1000, Macon, GA 31210-8052 Ph: (478) 607-2514 |
Dr. Rahul Kumar Vangala, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3964 Elnora Dr, Macon, GA 31210 Phone: 478-477-1777 Fax: 478-477-1779 | |
Dr. David T Plaxico, M.D Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2076 Ingleside Ave, Macon, GA 31204 Phone: 478-743-9376 Fax: 478-743-4670 | |
Mrs. Kayla Sue Whitley, DNP, APRN, FNP-C Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 2076 Ingleside Ave, Macon, GA 31204 Phone: 478-254-8305 |