Dr Prashant Baliga, MD | |
915 Gordon Ave, Thomasville, GA 31792-6614 | |
(229) 228-8575 | |
Not Available |
Full Name | Dr Prashant Baliga |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 20 Years |
Location | 915 Gordon Ave, Thomasville, 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 |
---|---|---|---|
1013114305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 64756 (Georgia) | Secondary |
207R00000X | Internal Medicine | ME122015 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
Memorial Hospital And Manor | Bainbridge, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southland Bainbridge Hospitalist Group, Llc | 7214248335 | 41 |
Southland Hospitalist Group, Llc | 8022272913 | 27 |
Entity Name | Southland Hospitalist Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386910586 PECOS PAC ID: 8022272913 Enrollment ID: O20120605000373 |
Entity Name | Southland Taylor Hospitalist Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093120909 PECOS PAC ID: 6800015959 Enrollment ID: O20140922002775 |
Entity Name | Southland Bainbridge Hospitalist Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356735336 PECOS PAC ID: 7214248335 Enrollment ID: O20150616002069 |
Mailing Address | Practice Location Address |
---|---|
Dr Prashant Baliga, MD 2801 Chancellorsville Dr, Apt 118, Tallahassee, FL 32312-4815 Ph: (989) 906-2397 | Dr Prashant Baliga, MD 915 Gordon Ave, Thomasville, GA 31792-6614 Ph: (229) 228-8575 |
Keerthi Kiran Ponugoti, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2705 E Pinetree Blvd Ste C, Thomasville, GA 31792 Phone: 229-584-5731 Fax: 229-584-5941 | |
William W Ellis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-551-0083 Fax: 229-227-9642 | |
Dr. Raul Gabriel Santos, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 334 Smith Ave, Thomasville, GA 31792 Phone: 229-227-1595 Fax: 229-227-1385 | |
Dr. Asif Rashid Shah, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-8575 | |
Dr. Luis Alfredo Wulff, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 119 W Hill St, Thomasville, GA 31792 Phone: 229-225-1900 | |
Robert D Miles Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-551-0083 Fax: 229-227-9642 |