Kenneth W Fogarty Ii, MD | |
2350 Limestone Pkwy, Gainesville, GA 30501-2013 | |
(770) 539-9600 | |
(770) 534-1470 |
Full Name | Kenneth W Fogarty Ii |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 32 Years |
Location | 2350 Limestone Pkwy, Gainesville, 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 |
---|---|---|---|
1396725214 | NPI | - | NPPES |
000679599C | Medicaid | GA | |
10053087 | Other | GA | AMERIGROUP |
0400123 | Other | GA | UNITED HEALTHCARE |
110225630 | Other | GA | RR MEDICARE-GRP # CC4177 |
336330 | Other | GA | WELLCARE |
52542692 | Other | GA | BCBS |
8583747 | Other | GA | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 041118 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
Entity Name | Prikare Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528407608 PECOS PAC ID: 7719110279 Enrollment ID: O20140507001797 |
Mailing Address | Practice Location Address |
---|---|
Kenneth W Fogarty Ii, MD Po Box 908653, Gainesville, GA 30501-0926 Ph: (770) 539-9600 | Kenneth W Fogarty Ii, MD 2350 Limestone Pkwy, Gainesville, GA 30501-2013 Ph: (770) 539-9600 |
James D Jackson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1285 Sims St, Gainesville, GA 30501 Phone: 770-219-8583 | |
Dr. Nitya S Chandra, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 100, Gainesville, GA 30501 Phone: 770-534-2020 Fax: 770-534-8025 | |
Dr. Lisa Armsrees Gillespie, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8420 | |
Dr. Noelle Claudine Stanley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1211 Sherwood Park Dr Ne Ste B, Gainesville, GA 30501 Phone: 770-219-9179 | |
Kedric Naylor, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 Fax: 770-538-7872 | |
Dr. William Nathan Blake, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Ngpg Inpatient Medicine, Gainesville, GA 30501 Phone: 770-219-6000 Fax: 770-219-6021 | |
Roberto Manuel Villanueva, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501 Phone: 770-536-9864 |