Keerthi Kiran Ponugoti, MD | |
2705 E Pinetree Blvd Ste C, Thomasville, GA 31792-4875 | |
(229) 584-5731 | |
(229) 584-5941 |
Full Name | Keerthi Kiran Ponugoti |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 20 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 |
---|---|---|---|
1013228196 | NPI | - | NPPES |
Facility Name | Location | Facility Type |
---|---|---|
Fauquier Hospital | Warrenton, VA | Hospital |
Doctors Hospital | Augusta, GA | Hospital |
Northside Hospital Cherokee | Canton, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Intensive Care Consortium Inc | 0244269413 | 376 |
Northside Primary Care Professional Services,llc | 9638343924 | 266 |
Southeastern Intensivist Services Pc | 9335152107 | 210 |
Entity Name | Au Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
Entity Name | Intensive Care Consortium Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629019062 PECOS PAC ID: 0244269413 Enrollment ID: O20101206000106 |
Entity Name | Northside Primary Care Professional Services,llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206 |
Mailing Address | Practice Location Address |
---|---|
Keerthi Kiran Ponugoti, MD 2705 E Pinetree Blvd Ste C, Thomasville, GA 31792-4875 Ph: (229) 584-5731 | Keerthi Kiran Ponugoti, 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 | |
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 |