Ian C Munger, DO | |
1497 Fair Rd, Statesboro, GA 30458-0822 | |
(912) 486-1111 | |
Not Available |
Full Name | Ian C Munger |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 16 Years |
Location | 1497 Fair Rd, Statesboro, 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 |
---|---|---|---|
1023247723 | NPI | - | NPPES |
0230169 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 070661 (Georgia) | Primary |
207Q00000X | Family Medicine | R-8762 (Iowa) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
East Georgia Regional Medical Center | Statesboro, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Statesboro Medical Group, Llc | 6507285095 | 9 |
Entity Name | Georgia Emergency Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528098290 PECOS PAC ID: 1052216389 Enrollment ID: O20031201000427 |
Entity Name | Montgomery Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861773764 PECOS PAC ID: 5395918387 Enrollment ID: O20111108000598 |
Entity Name | Statesboro Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013535657 PECOS PAC ID: 6507285095 Enrollment ID: O20201002000508 |
Entity Name | Vidalia Immediate & Primary Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942974167 PECOS PAC ID: 8820489941 Enrollment ID: O20211229000187 |
Mailing Address | Practice Location Address |
---|---|
Ian C Munger, DO 1176 Brampton Ave, Statesboro, GA 30458-0847 Ph: (912) 259-9474 | Ian C Munger, DO 1497 Fair Rd, Statesboro, GA 30458-0822 Ph: (912) 486-1111 |
Dr. James Daniel Weathers, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 213 Savannah Ave, Statesboro, GA 30458 Phone: 912-681-9292 Fax: 866-811-9195 | |
Scott T. Pottratz, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1510 | |
Ricky Brandon Johnson, FNP-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1570 Brampton Ave, Statesboro, GA 30458 Phone: 912-764-9196 Fax: 478-237-9138 |