Johnny M Belenchia, MD | |
2705 E Pinetree Blvd Ste C, Thomasville, GA 31792-4875 | |
(229) 584-5731 | |
(229) 228-2492 |
Full Name | Johnny M Belenchia |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 39 Years |
Location | 2705 E Pinetree Blvd Ste C, Thomasville, 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 |
---|---|---|---|
1205850435 | NPI | - | NPPES |
1559353 | Other | MS | AMERICAN ADMIN GROUP |
290013888 | Other | RAILROAD MEDICARE | |
003142520A | Medicaid | GA | |
00124286 | Medicaid | MS | |
1419672 | Medicaid | LA | |
003142520B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 11332 (Mississippi) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | 071207 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
John D. Archbold Memorial Hospital, Inc. | 4981502622 | 60 |
Archbold Medical Group, Inc. | 8123196383 | 62 |
Entity Name | John D. Archbold Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194779702 PECOS PAC ID: 4981502622 Enrollment ID: O20031219000506 |
Entity Name | Archbold Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831353036 PECOS PAC ID: 8123196383 Enrollment ID: O20081001000632 |
Mailing Address | Practice Location Address |
---|---|
Johnny M Belenchia, MD 900 Cairo Rd, Thomasville, GA 31792-4255 Ph: () - | Johnny M Belenchia, MD 2705 E Pinetree Blvd Ste C, Thomasville, GA 31792-4875 Ph: (229) 584-5731 |
Dr. Prashant Baliga, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-8575 | |
Keerthi Kiran Ponugoti, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2705 E Pinetree Blvd Ste C, Thomasville, GA 31792 Phone: 229-584-5731 Fax: 229-584-5941 | |
William W Ellis, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-551-0083 Fax: 229-227-9642 | |
Dr. Raul Gabriel Santos, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 334 Smith Ave, Thomasville, GA 31792 Phone: 229-227-1595 Fax: 229-227-1385 | |
Dr. Asif Rashid Shah, MBBS Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-8575 | |
Dr. Luis Alfredo Wulff, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 119 W Hill St, Thomasville, GA 31792 Phone: 229-225-1900 | |
Robert D Miles Jr., M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-551-0083 Fax: 229-227-9642 |