Dr Mario A Miglietta, | |
1061 Harmon Ave, Fort Stewart, GA 31314-5641 | |
(912) 435-6965 | |
Not Available |
Full Name | Dr Mario A Miglietta |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1061 Harmon Ave, Fort Stewart, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366405607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 25MB06920900 (New Jersey) | Secondary |
207P00000X | Emergency Medicine | 82324 (Georgia) | Primary |
Entity Name | Emergency Group Of Columbus Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316458227 PECOS PAC ID: 2668735515 Enrollment ID: O20180406001191 |
Entity Name | Heritage Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003321969 PECOS PAC ID: 6305100850 Enrollment ID: O20180509000280 |
Mailing Address | Practice Location Address |
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Dr Mario A Miglietta, 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (912) 435-6965 | Dr Mario A Miglietta, 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (912) 435-6965 |
Dr. Charles Henry Moore, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6633 | |
Dr. David Micheal Moore, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6933 | |
Dr. Bjorn Bengt-gunnar Bernhardsen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Sean Codier, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314 Phone: 912-435-6633 | |
Dr. Matthew Thomas Esposito, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Dr. Adam Spanier, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Matthew Paul Weirich, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 |