John H Polak, DO | |
1350 Walton Way, Augusta, GA 30901-2612 | |
(904) 805-1300 | |
(904) 805-1302 |
Full Name | John H Polak |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1350 Walton Way, Augusta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508892407 | NPI | - | NPPES |
000403807C | Medicaid | GA | |
623872 | Other | GA | BLUE CROSS |
G31100 | Medicaid | SC | |
G31100 | Other | SC | SOUTH CAROLINA MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 31100 (Georgia) | Primary |
Entity Name | Augusta Physicians Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518169168 PECOS PAC ID: 6608977251 Enrollment ID: O20070726000065 |
Mailing Address | Practice Location Address |
---|---|
John H Polak, DO Po Box 532780, Atlanta, GA 30353-2780 Ph: (904) 805-1300 | John H Polak, DO 1350 Walton Way, Augusta, GA 30901-2612 Ph: (904) 805-1300 |
Stephen A. Shiver, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4951 Fax: 706-721-7941 | |
Dr. Anuj Pankaj Jani, BMBS Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-0211 | |
Sunita Jena, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2613 | |
Dr. Joshua Berk, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 603-988-9611 | |
Jedidiah Amos Ballard, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-724-6100 | |
Richard B. Schwartz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4951 Fax: 706-721-7941 | |
Dr. John Stanley Oester, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3651 Wheeler Road, Augusta, GA 30909 Phone: 706-651-2369 Fax: 706-651-2364 |