Matthew Todd Kleinbub, MD | |
1350 Walton Way, Augusta, GA 30901-2612 | |
(706) 737-9250 | |
(706) 733-0697 |
Full Name | Matthew Todd Kleinbub |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 24 Years |
Location | 1350 Walton Way, Augusta, 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 |
---|---|---|---|
1558304501 | NPI | - | NPPES |
654090702A | Medicaid | GA | |
G52976 | Medicaid | SC | |
P00111540 | Other | GA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207LP2900X | Anesthesiology - Pain Medicine | 052976 (Georgia) | Secondary |
207L00000X | Anesthesiology | 052976 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Hospital | Augusta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Anesthesia Llc | 2163837972 | 157 |
Entity Name | University Anesthesiology Assoc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790722593 PECOS PAC ID: 4789586314 Enrollment ID: O20040123000807 |
Entity Name | Piedmont Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
Mailing Address | Practice Location Address |
---|---|
Matthew Todd Kleinbub, MD 1824 Walton Way, Augusta, GA 30904-3804 Ph: (706) 737-9250 | Matthew Todd Kleinbub, MD 1350 Walton Way, Augusta, GA 30901-2612 Ph: (706) 737-9250 |
Rosa Maria Lopez Rincon, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-446-5836 | |
Yulia Kungurova, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1120 15th St # Bi-2183, Augusta, GA 30912 Phone: 706-721-0180 | |
Richard E. Lynch, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 804 Scott Nixon Memorial Dr, Attn: Provider Enrollment, Augusta, GA 30907 Phone: 800-394-4445 Fax: 706-955-0735 | |
Dr. Edward Kurt Leahy, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 | |
Dr. Marshall D. Bedder, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3813 | |
Dr. John William Whiteley, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 | |
Sami Mohammad Hafsa, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3871 |