Mr Sandeep Datta, MD | |
101 Preston Ct, Suite 103, Macon, GA 31210-5772 | |
(478) 745-2385 | |
(478) 745-1225 |
Full Name | Mr Sandeep Datta |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 29 Years |
Location | 101 Preston Ct, Macon, 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 |
---|---|---|---|
1477546166 | NPI | - | NPPES |
580628385 | Other | GA | TRICARE |
P00160070 | Other | RAILROAD MEDICARE | |
000937637F | Medicaid | GA | |
000937637I | Medicaid | GA | |
670890 | Other | GA | WELLCARE |
P01049978 | Other | GA | RAILROAD MEDICARE |
000937637D | Medicaid | GA | |
000937637H | Medicaid | GA | |
913282 | Other | BLUE CROSS BLUE SHIELD | |
000937637C | Medicaid | GA | |
01652025 | Other | GA | AMERIGROUP |
000937637B | Medicaid | GA | |
000937637E | Medicaid | GA |
Facility Name | Location | Facility Type |
---|---|---|
Fairview Park Hospital | Dublin, GA | Hospital |
Navicent Health Baldwin | Milledgeville, GA | Hospital |
Northside Hospital | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Hemlock Pain Center, Llc. | 8224076997 | 2 |
Entity Name | Anesthesia Associates Of Macon Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083720478 PECOS PAC ID: 5799698601 Enrollment ID: O20031107000003 |
Entity Name | The Hemlock Pain Center, Llc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821047069 PECOS PAC ID: 8224076997 Enrollment ID: O20050422000259 |
Entity Name | Guardian Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255786521 PECOS PAC ID: 8325347735 Enrollment ID: O20160505001064 |
Mailing Address | Practice Location Address |
---|---|
Mr Sandeep Datta, MD Po Box 116340, Atlanta, GA 30368-6340 Ph: (706) 860-2701 | Mr Sandeep Datta, MD 101 Preston Ct, Suite 103, Macon, GA 31210-5772 Ph: (478) 745-2385 |
Dr. Carlos Jorge Giron, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 3356 Vineville Ave, Macon, GA 31204 Phone: 478-476-9886 Fax: 478-476-9976 | |
Hollie R Holloway, FNP-C Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 3356 Vineville Ave, Macon, GA 31204 Phone: 478-476-9642 | |
Dr. Grace Duque-dizon, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 3356 Vineville Ave, Macon, GA 31204 Phone: 478-476-9642 Fax: 478-476-9976 | |
Jeremy Jacob Prine, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Riverside Dr, Bldg C, Macon, GA 31210 Phone: 478-474-2947 Fax: 478-971-4004 | |
Dr. Stephen N. Tafor, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Preston Ct, Suite 103, Macon, GA 31210 Phone: 478-745-2385 Fax: 478-745-1225 | |
William Benjamin Smisson, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 1157 Forsyth St Ste 200, Macon, GA 31201 Phone: 478-476-1968 |