Jack Melvin Deese Jr, MD | |
3025 Shrine Rd, Suite 390, Brunswick, GA 31520-4784 | |
(912) 466-7340 | |
(912) 466-7358 |
Full Name | Jack Melvin Deese Jr |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 3025 Shrine Rd, Brunswick, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1124038856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207X00000X | Orthopaedic Surgery | 24534 (Georgia) | Primary |
Entity Name | Cooperative Healthcare Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
Mailing Address | Practice Location Address |
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Jack Melvin Deese Jr, MD 3025 Shrine Rd, Suite 390, Brunswick, GA 31520-4784 Ph: (912) 466-7340 | Jack Melvin Deese Jr, MD 3025 Shrine Rd, Suite 390, Brunswick, GA 31520-4784 Ph: (912) 466-7340 |
Dr. Michael J Dunn, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3231 Glynn Ave, Brunswick, GA 31520 Phone: 912-265-9006 Fax: 912-265-7200 | |
Thomas Michael Sasser Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3025 Shrine Rd, Suite 390, Brunswick, GA 31520 Phone: 912-466-7340 Fax: 912-466-7358 | |
Michael James Sullivan, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3025 Shrine Rd, Brunswick, GA 31520 Phone: 912-466-7340 Fax: 912-466-7358 | |
Dr. Jackie Kevin Brooks, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3231 Glynn Ave, Brunswick, GA 31520 Phone: 912-265-9006 Fax: 912-265-7200 | |
Jason Bowman, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3025 Shrine Rd Ste 390, Brunswick, GA 31520 Phone: 912-466-7340 Fax: 912-262-0394 | |
Denny Alan Carter, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3025 Shrine Rd, Suite 390, Brunswick, GA 31520 Phone: 912-466-7340 Fax: 912-466-7358 |