Rodolfo Mario Cardenas, MD | |
100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 | |
(706) 858-2000 | |
(865) 291-3228 |
Full Name | Rodolfo Mario Cardenas |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 100 Gross Crescent Cir, Fort Oglethorpe, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487684940 | NPI | - | NPPES |
64696099 | Medicaid | KY | |
P00255559 | Other | TN | RAILROAD MEDICARE |
3334971 | Medicaid | TN | |
4097091 | Other | TN | BCBS OF TENNESSEE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 030282 (Georgia) | Primary |
Entity Name | Donalsonville Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720095805 PECOS PAC ID: 7113919820 Enrollment ID: O20040401001194 |
Entity Name | Hartwell Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962540849 PECOS PAC ID: 6709980022 Enrollment ID: O20070327000195 |
Entity Name | Erx Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760823082 PECOS PAC ID: 9335037571 Enrollment ID: O20130930000326 |
Mailing Address | Practice Location Address |
---|---|
Rodolfo Mario Cardenas, MD Po Box 636019, Cincinnati, OH 45263-6019 Ph: () - | Rodolfo Mario Cardenas, MD 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 Ph: (706) 858-2000 |
Gaston G Foderingham, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742 Phone: 706-858-2000 Fax: 865-291-3228 | |
Zebulon Heidt, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742 Phone: 706-858-2000 | |
Kenneth Thomas Gossett, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742 Phone: 706-858-2000 | |
Sandra Jean Carmichael, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742 Phone: 706-858-2000 Fax: 865-291-3228 | |
Steven Perlaky, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742 Phone: 706-858-2000 Fax: 865-291-3228 |