Larry Alan Medley, | |
417 W 3rd Ave, Albany, GA 31701-1943 | |
(229) 312-1000 | |
Not Available |
Full Name | Larry Alan Medley |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 13 Years |
Location | 417 W 3rd Ave, Albany, 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 |
---|---|---|---|
1285879536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 73584 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Phoebe Worth Medical Center | Sylvester, GA | Hospital |
Phoebe Putney Memorial Hospital | Albany, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Phoebe Worth Medical Center, Inc | 0840104527 | 10 |
Phoebe Putney Memorial Hospital, Inc. | 4486559549 | 47 |
Entity Name | Phoebe Putney Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992789721 PECOS PAC ID: 4486559549 Enrollment ID: O20031203000397 |
Entity Name | Phoebe Worth Medical Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760460448 PECOS PAC ID: 0840104527 Enrollment ID: O20040205000529 |
Entity Name | Phoebe Sumter Medical Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609001312 PECOS PAC ID: 4385789213 Enrollment ID: O20110324000491 |
Entity Name | Central Georgia Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598126641 PECOS PAC ID: 5991004608 Enrollment ID: O20160502001926 |
Mailing Address | Practice Location Address |
---|---|
Larry Alan Medley, 229 Laurel Ln, Lizella, GA 31052-3749 Ph: (478) 935-9953 | Larry Alan Medley, 417 W 3rd Ave, Albany, GA 31701-1943 Ph: (229) 312-1000 |
Ayodeji Akadiri, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000 | |
Dr. Andrew George Misulia, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-317-2207 Fax: 229-317-2214 | |
Gregory Walter, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2000 Palmyra Rd, Albany, GA 31701 Phone: 229-434-2000 | |
Dr. Elmera V Dejarme, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-317-2207 Fax: 229-317-2214 | |
Dr. Gopala Krishna Derebail, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-317-2207 Fax: 229-317-2214 | |
Dr. Alfred Lee Woodard, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-317-2207 Fax: 229-317-2214 | |
Dr. Christopher Andrew Ham, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-317-2207 Fax: 229-317-2214 |