Dr Mary L Sparkes, MD | |
5 Executive Cir, Savannah, GA 31406-3345 | |
(912) 355-2400 | |
(912) 355-5324 |
Full Name | Dr Mary L Sparkes |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 5 Executive Cir, Savannah, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891737441 | NPI | - | NPPES |
000591313K | Medicaid | GA | |
10058953 | Other | GA | AMERIGROUP |
000591313 | Medicaid | GA | |
G38102 | Medicaid | SC | |
000591313B | Medicaid | GA | |
000591313M | Medicaid | GA | |
000591313C | Medicaid | GA | |
000591313F | Medicaid | GA | |
F284498055 | Medicaid | SC | |
000591313D | Medicaid | GA | |
000591313L | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 038102 (Georgia) | Secondary |
207P00000X | Emergency Medicine | 038102 (Georgia) | Primary |
207P00000X | Emergency Medicine | 27316 (South Carolina) | Secondary |
Entity Name | East Georgia Healthcare Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831144971 PECOS PAC ID: 0547228686 Enrollment ID: O20050722000569 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary L Sparkes, MD 5 Executive Cir, Savannah, GA 31406-3345 Ph: (912) 355-2400 | Dr Mary L Sparkes, MD 5 Executive Cir, Savannah, GA 31406-3345 Ph: (912) 355-2400 |
Bradley Post, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Ave, Savannah, GA 31404 Phone: 912-350-3849 | |
Eriny Hanna, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 4700 Waters Ave, Savannah, GA 31404 Phone: 615-482-7119 | |
Donald Paul Taylor, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4700 Waters Ave, Emergency Department, Savannah, GA 31404 Phone: 912-350-3849 | |
Matthew Joseph Weis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5353 Reynolds St, Savannah, GA 31405 Phone: 912-819-6000 | |
Ruth Pannell Crider, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5 Executive Cir, Savannah, GA 31406 Phone: 912-355-2400 Fax: 912-355-5324 | |
Robert Risch, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Ave, Savannah, GA 31404 Phone: 912-350-3849 | |
Mary Kay Ross, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4700 Waters Ave, Savannah, GA 31404 Phone: 912-350-3849 |