Guillermo A Pena, MD | |
165 Blue Ridge Overlook, Blue Ridge, GA 30513-4431 | |
(706) 946-4647 | |
(706) 374-5006 |
Full Name | Guillermo A Pena |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 42 Years |
Location | 165 Blue Ridge Overlook, Blue Ridge, 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 |
---|---|---|---|
1013978162 | NPI | - | NPPES |
297695058A | Medicaid | GA | |
040614700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 46222 (Florida) | Secondary |
207R00000X | Internal Medicine | 059493 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Northwest Home Health | Jasper, GA | Home health agency |
Tugaloo Home Health Agency, An Amedisy Company | Gainesville, GA | Home health agency |
Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
Piedmont Mountainside Hospital Inc | Jasper, GA | Hospital |
Northeast Georgia Medical Center Lumpkin | Dahlonega, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Georgia Mountains Health Services, Inc. | 7719974831 | 17 |
Entity Name | Georgia Mountains Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538123666 PECOS PAC ID: 7719974831 Enrollment ID: O20040429000383 |
Mailing Address | Practice Location Address |
---|---|
Guillermo A Pena, MD 165 Blue Ridge Overlook, Blue Ridge, GA 30513-4431 Ph: (706) 946-5608 | Guillermo A Pena, MD 165 Blue Ridge Overlook, Blue Ridge, GA 30513-4431 Ph: (706) 946-4647 |
Dr. Elias Georges Issa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Riverstone Vis, Suite 207, Blue Ridge, GA 30513 Phone: 706-964-4210 Fax: 706-964-4251 | |
Dr. Salahattin M Sanal, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Riverstone Vista, Suite #102, Blue Ridge, GA 30513 Phone: 706-258-4140 Fax: 706-258-4141 | |
Dr. Frank Stanson Trigg, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Riverstone Vis, Suite 203, Blue Ridge, GA 30513 Phone: 706-632-8787 Fax: 706-632-3585 | |
Frank David Kuitems, MD, ABIM BOARD CERT. Internal Medicine Medicare: Medicare Enrolled Practice Location: 165 Blue Ridge Overlook, Blue Ridge, GA 30513 Phone: 706-946-4647 Fax: 706-374-7628 | |
Dr. Jennifer Lee Jones, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Riverstone Vis Ste 102, Blue Ridge, GA 30513 Phone: 706-258-4140 Fax: 706-258-4141 | |
Mr. Ronald Timothy Jabaley Ii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6 Elm St, Blue Ridge, GA 30513 Phone: 706-492-4294 Fax: 706-492-4226 |