Robert Scanlon, DO | |
1811 Edwina Dr, Vidalia, GA 30474-8963 | |
(912) 538-8105 | |
(912) 538-8109 |
Full Name | Robert Scanlon |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 29 Years |
Location | 1811 Edwina Dr, Vidalia, 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 |
---|---|---|---|
1609874197 | NPI | - | NPPES |
P2754298 | Other | OXFORD | |
003107027A | Medicaid | GA | |
9392179 | Other | CIGNA | |
2K3975 | Other | HEALTHNET | |
3263210 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | 65886 (Georgia) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | 65886 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Meadows Regional Medical Center | Vidalia, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Meadows Multispecialty Associates Llc | 6002223484 | 27 |
Entity Name | Meadows Multispecialty Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952990533 PECOS PAC ID: 6002223484 Enrollment ID: O20210407000556 |
Mailing Address | Practice Location Address |
---|---|
Robert Scanlon, DO Po Box 407, Vidalia, GA 30475-0407 Ph: (912) 537-4986 | Robert Scanlon, DO 1811 Edwina Dr, Vidalia, GA 30474-8963 Ph: (912) 538-8105 |
Brick Acosta, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555 Fax: 912-535-5830 | |
Misty Denise Poole, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 210 Mose Coleman Dr, Vidalia, GA 30474 Phone: 912-537-2200 Fax: 912-537-2260 | |
Dr. Charles A Gordon, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555 Fax: 912-535-8930 | |
Dr. Martha Smith, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 101 Harris Industrial Blvd Ste A, Vidalia, GA 30474 Phone: 912-535-3500 Fax: 912-535-4498 | |
Mark Hoerman, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1811 Edwina Dr, Vidalia, GA 30474 Phone: 912-538-8105 Fax: 912-538-8109 | |
Kenneth S Marvin, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474 Phone: 912-535-3500 | |
Sreekanth Reddy, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy Ste B, Vidalia, GA 30474 Phone: 912-454-7012 Fax: 866-871-8565 |