Michael Blaivas, MD | |
1120 15th St, Augusta, GA 30912-0004 | |
(706) 721-4951 | |
(706) 721-7941 |
Full Name | Michael Blaivas |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1120 15th St, Augusta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639289341 | NPI | - | NPPES |
000950639A | Medicaid | GA | |
G51435 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 051435 (Georgia) | Primary |
Entity Name | Inphynet Primary Care Physicians Southeast Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770521460 PECOS PAC ID: 3779497045 Enrollment ID: O20031119000600 |
Entity Name | Northside Emergency Associates, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686303 PECOS PAC ID: 9335135144 Enrollment ID: O20040426000165 |
Entity Name | Emergency Coverage Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050411000056 |
Entity Name | The Bortolazzo Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
Entity Name | Coweta Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245556588 PECOS PAC ID: 5395876452 Enrollment ID: O20100706000634 |
Entity Name | Montgomery Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861773764 PECOS PAC ID: 5395918387 Enrollment ID: O20111108000598 |
Mailing Address | Practice Location Address |
---|---|
Michael Blaivas, MD 1499 Walton Way, Ste 1400, Augusta, GA 30901-2602 Ph: (706) 828-6410 | Michael Blaivas, MD 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-4951 |
Stephen A. Shiver, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4951 Fax: 706-721-7941 | |
Dr. Anuj Pankaj Jani, BMBS Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-0211 | |
Sunita Jena, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2613 | |
Dr. Joshua Berk, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 603-988-9611 | |
Jedidiah Amos Ballard, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-724-6100 | |
Richard B. Schwartz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4951 Fax: 706-721-7941 | |
Dr. John Stanley Oester, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3651 Wheeler Road, Augusta, GA 30909 Phone: 706-651-2369 Fax: 706-651-2364 |