Hetal P Thakore, MD | |
811 13th Street, Suite 10, Augusta, GA 30901 | |
(706) 434-1590 | |
(803) 279-6001 |
Full Name | Hetal P Thakore |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 24 Years |
Location | 811 13th Street, 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 |
---|---|---|---|
1821184540 | NPI | - | NPPES |
G53556 | Medicaid | SC | |
442892357D | Medicaid | GA | |
52058546-003 | Other | GA | BCBS OF GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 053556 (Georgia) | Secondary |
207R00000X | Internal Medicine | 053556 (Georgia) | Primary |
207Q00000X | Family Medicine | 053556 (Georgia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Doctors Hospital | Augusta, GA | Hospital |
Au Medical Center | Augusta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Minaxi Llc | 0840598207 | 3 |
Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 663 |
Minaxi Llc | 0840598207 | 3 |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
Entity Name | Minaxi Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063872372 PECOS PAC ID: 0840598207 Enrollment ID: O20160419000051 |
Mailing Address | Practice Location Address |
---|---|
Hetal P Thakore, MD 811 13th Street, Suite 10, Augusta, GA 30901 Ph: (706) 434-1590 | Hetal P Thakore, MD 811 13th Street, Suite 10, Augusta, GA 30901 Ph: (706) 434-1590 |
Dr. Bryan Richard Broach, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 | |
Dr. Kayla Ashley Shahbazian, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 Fax: 706-721-1459 | |
Dr. Harvey Schwartz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 | |
Dr. Anam Asif Herekar, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2423 | |
Haley Sorensen, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3186 | |
Dr. Robert Allen Price, MD Internal Medicine 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 Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 818 Saint Sebastian Way, Suite 311, Augusta, GA 30901 Phone: 706-724-3473 |