Dr Scott D Pethke, MD | |
1301 Broad St, Augusta, GA 30901-1055 | |
(706) 922-5864 | |
(706) 922-5819 |
Full Name | Dr Scott D Pethke |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 31 Years |
Location | 1301 Broad St, Augusta, 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 |
---|---|---|---|
1609828094 | NPI | - | NPPES |
5808779 | Other | LA | AETNA |
1492582 | Medicaid | LA | |
4800148 | Other | LA | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 066307 (Georgia) | Primary |
207RP1001X | Internal Medicine - Pulmonary Disease | 10684R (Louisiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospital | Augusta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Augusta Lung Associates | 1052327285 | 4 |
Entity Name | Augusta Lung Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619043049 PECOS PAC ID: 1052327285 Enrollment ID: O20060227000076 |
Mailing Address | Practice Location Address |
---|---|
Dr Scott D Pethke, MD Northside Hospital Managed Care Department, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30350 Ph: (404) 300-2476 | Dr Scott D Pethke, MD 1301 Broad St, Augusta, GA 30901-1055 Ph: (706) 922-5864 |
Dr. Bryan Richard Broach, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 | |
Dr. Kayla Ashley Shahbazian, DO Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 Fax: 706-721-1459 | |
Dr. Harvey Schwartz, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 | |
Dr. Anam Asif Herekar, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2423 | |
Haley Sorensen, DO Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3186 | |
Dr. Robert Allen Price, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1701 Magnolia Way Ste 101, Augusta, GA 30909 Phone: 706-922-6600 Fax: 706-650-0239 | |
Matthew Kevin Howard, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 818 Saint Sebastian Way, Suite 311, Augusta, GA 30901 Phone: 706-724-3473 |