Dr Ryan Noelle Fogg, MD | |
1240 Jesse Jewell Pkwy Se, Ste 200, Gainesville, GA 30501-3862 | |
(770) 532-8438 | |
(770) 535-1785 |
Full Name | Dr Ryan Noelle Fogg |
---|---|
Gender | Female |
Speciality | Urology |
Experience | 18 Years |
Location | 1240 Jesse Jewell Pkwy Se, Gainesville, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063652212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD060715 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
Habersham County Medical Ctr | Demorest, GA | Hospital |
Union General Hospital | Blairsville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gainesville Urology, Pc | 2567459977 | 6 |
Entity Name | Gainesville Urology, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407872872 PECOS PAC ID: 2567459977 Enrollment ID: O20040428000434 |
Mailing Address | Practice Location Address |
---|---|
Dr Ryan Noelle Fogg, MD 1240 Jesse Jewell Pkwy Se, Ste 200, Gainesville, GA 30501-3862 Ph: (770) 532-8438 | Dr Ryan Noelle Fogg, MD 1240 Jesse Jewell Pkwy Se, Ste 200, Gainesville, GA 30501-3862 Ph: (770) 532-8438 |
Mr. William Bird Jones, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 660-a Lanier Park Drive, Gainesville, GA 30501 Phone: 770-535-0000 Fax: 770-532-3911 | |
Mr. Ronald Leroy Brock, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 660 Lanier Park Drive, Ste A, Gainesville, GA 30501 Phone: 770-535-0000 Fax: 770-532-3911 | |
Dr. David Stanley, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1315 Jesse Jewell Pkwy Ne Ste 201, Gainesville, GA 30501 Phone: 770-219-8765 | |
Mr. John Clay Mchugh, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 660-a Lanier Park Drive, Gainesville, GA 30501 Phone: 770-535-0000 Fax: 770-532-3911 | |
Dr. David S Woo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy, Suite 200, Gainesville, GA 30501 Phone: 770-532-8438 Fax: 770-535-1785 | |
Dr. Devendar Katkoori, M.D Urology Medicare: Accepting Medicare Assignments Practice Location: 1315 Jesse Jewell Pkwy Ne, Suite 201, Gainesville, GA 30501 Phone: 770-219-6520 Fax: 770-219-6521 |