John Edward Vance, MD | |
235 Walnut Ave S, Leesburg, GA 31763-4367 | |
(229) 759-6508 | |
Not Available |
Full Name | John Edward Vance |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 24 Years |
Location | 235 Walnut Ave S, Leesburg, 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 |
---|---|---|---|
1841301496 | NPI | - | NPPES |
7154474 | Other | GA | AETNA |
52063711 | Other | GA | BCBS |
P00051313 | Other | GA | RR MCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 053383 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Phoebe Putney Memorial Hospital | Albany, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Albany Area Primary Health Care, Inc | 7911811922 | 53 |
Phoebe Physician Group Inc | 8426112350 | 351 |
Entity Name | Albany Area Primary Health Care, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780608992 PECOS PAC ID: 7911811922 Enrollment ID: O20040217000509 |
Entity Name | Phoebe Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
Mailing Address | Practice Location Address |
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John Edward Vance, MD 204 N Westover Blvd, Albany, GA 31707-2983 Ph: (229) 888-6559 | John Edward Vance, MD 235 Walnut Ave S, Leesburg, GA 31763-4367 Ph: (229) 759-6508 |
Nicole Tahira Perrotte, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 235 Walnut Street, Leesburg, GA 31763 Phone: 229-759-6508 Fax: 229-759-9950 | |
James Hotz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 235 Walnut Ave S, Leesburg, GA 31763 Phone: 229-759-6508 Fax: 229-759-9950 | |
Deirdre Mae Clairewen Lawson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 235 Walnut Street, Leesburg, GA 31763 Phone: 229-759-6508 Fax: 229-759-9950 | |
Dr. Samrajya L.k. Gogineni, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1390 Us Highway 19 S, Leesburg, GA 31763 Phone: 229-312-7490 Fax: 229-312-7495 |