Scott T Pottratz, MD | |
1499 Fair Rd, Statesboro, GA 30458-1683 | |
(912) 486-1510 | |
Not Available |
Full Name | Scott T Pottratz |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1499 Fair Rd, Statesboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790731628 | NPI | - | NPPES |
100119850 | Medicaid | IN | |
000000365696 | Other | IN | BSIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 01036697 (Indiana) | Secondary |
207P00000X | Emergency Medicine | 072760 (Georgia) | Primary |
Entity Name | Indiana Emergency Physicians Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477930089 PECOS PAC ID: 4385541614 Enrollment ID: O20031216000135 |
Mailing Address | Practice Location Address |
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Scott T Pottratz, MD 5629 Hwy 21 S, Rincon, GA 31326-9416 Ph: (912) 295-2133 | Scott T Pottratz, MD 1499 Fair Rd, Statesboro, GA 30458-1683 Ph: (912) 486-1510 |
Dr. James Daniel Weathers, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 213 Savannah Ave, Statesboro, GA 30458 Phone: 912-681-9292 Fax: 866-811-9195 | |
Ian C Munger, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1497 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1111 | |
Ricky Brandon Johnson, FNP-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1570 Brampton Ave, Statesboro, GA 30458 Phone: 912-764-9196 Fax: 478-237-9138 |