| Laura L Mulloy, DO | |
|
1120 15th St, Augusta, GA 30912-0004 | |
| (706) 721-2861 | |
| (706) 721-1459 |
| Full Name | Laura L Mulloy |
|---|---|
| Gender | Female |
| Speciality | Nephrology |
| Experience | 41 Years |
| Location | 1120 15th St, Augusta, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376652388 | NPI | - | NPPES |
| G07281 | Medicaid | SC | |
| 000428447A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 033412 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmc Crossroads | Augusta, GA | Dialysis facility |
| Fmc New Bailie | Augusta, GA | Dialysis facility |
| Fresenius Medical Care Evans | Evans, GA | Dialysis facility |
| Au Medical Center | Augusta, GA | Hospital |
| Navicent Health Baldwin | Milledgeville, GA | Hospital |
| Aiken Regional Medical Center | Aiken, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| 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 | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura L Mulloy, DO 1499 Walton Way, Ste 1400, Augusta, GA 30901-2602 Ph: (706) 828-6410 | Laura L Mulloy, DO 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-2861 |
Dr. Noelle Alicia Rolle, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1447 Harper St Fl 2, Augusta, GA 30912 Phone: 706-721-8623 | |
Dr. Bryan Richard Broach, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 | |
Dr. Kayla Ashley Shahbazian, DO Nephrology Medicare: May Accept Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 Fax: 706-721-1459 | |
Dr. Harvey Schwartz, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 | |
Dr. Anam Asif Herekar, MD Nephrology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2423 | |
Haley Sorensen, DO Nephrology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3186 | |
Dr. Robert Allen Price, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1701 Magnolia Way Ste 101, Augusta, GA 30909 Phone: 706-922-6600 Fax: 706-650-0239 |