Mr Richard Stat Roth, MD | |
100 Eddie Jungemann Drive, Suite B, Savannah, GA 31408 | |
(912) 964-7684 | |
(912) 354-9365 |
Full Name | Mr Richard Stat Roth |
---|---|
Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
Location | 100 Eddie Jungemann Drive, Suite B, 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 |
---|---|---|---|
1972502581 | NPI | - | NPPES |
000532441E | Medicaid | GA | |
440003516 | Other | GA | RR MEDICARE |
454524 | Other | GA | BCBS |
G36446 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 036446 (Georgia) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard Stat Roth, MD 100 Eddie Jungemann Drive, Suite B, Savannah, GA 31408 Ph: (912) 354-5543 | Mr Richard Stat Roth, MD 100 Eddie Jungemann Drive, Suite B, Savannah, GA 31408 Ph: (912) 964-7684 |
Florin C Georgescu, M. D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 500 E 66th St, Savannah, GA 31405 Phone: 912-356-5643 Fax: 912-356-9712 | |
James A Daly Iii, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 340 Hodgson Ct, Suite 2, Savannah, GA 31406 Phone: 912-629-2290 Fax: 912-629-2291 | |
Elizabeth Florence Cornell, DO Infectious Disease Medicare: May Accept Medicare Assignments Practice Location: 6602 Waters Ave Bldg A, Savannah, GA 31406 Phone: 912-350-6000 Fax: 912-350-6001 | |
Dr. Kinhtu Lien, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 4700 Waters Ave, Savannah, GA 31404 Phone: 912-350-7573 | |
Dr. Barry James Krakow, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 211 Early St, Savannah, GA 31405 Phone: 505-238-7519 | |
Dr. John David Northup, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 12345 Mercy Blvd, Savannah, GA 31419 Phone: 912-927-3046 Fax: 912-925-0597 | |
Samuel David Patrick Mcelroy, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4451 Paulsen St, Savannah, Savannah, GA 31405 Phone: 912-350-7500 Fax: 912-350-7735 |