Sreevalli Dega, MD | |
1570 Brampton Ave, Statesboro, GA 30458-0855 | |
(912) 764-9196 | |
Not Available |
Full Name | Sreevalli Dega |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 19 Years |
Location | 1570 Brampton Ave, Statesboro, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023247731 | NPI | - | NPPES |
0230169 | Medicaid | IA | |
202I086718 | Other | GA | PCAN |
003140454A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 39798 (Iowa) | Secondary |
207Q00000X | Family Medicine | 71063 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Georgia Healthcare Center, Inc. | 0547228686 | 12 |
Statesboro Medical Group, Llc | 6507285095 | 9 |
Entity Name | East Georgia Healthcare Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831144971 PECOS PAC ID: 0547228686 Enrollment ID: O20050722000569 |
Entity Name | Med Now Urgent Care, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245475771 PECOS PAC ID: 5799835153 Enrollment ID: O20090608000055 |
Entity Name | St Josephs Candler Urgent Care Centers Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922580133 PECOS PAC ID: 5092058016 Enrollment ID: O20190515000494 |
Entity Name | Statesboro Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013535657 PECOS PAC ID: 6507285095 Enrollment ID: O20201002000508 |
Mailing Address | Practice Location Address |
---|---|
Sreevalli Dega, MD 1176 Brampton Ave, Statesboro, GA 30458-0847 Ph: (912) 259-9474 | Sreevalli Dega, MD 1570 Brampton Ave, Statesboro, GA 30458-0855 Ph: (912) 764-9196 |
Leslie A Pittman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16741 Hwy 67, Suite A, Statesboro, GA 30458 Phone: 912-623-2391 Fax: 912-623-2396 | |
Zachary Mcgalliard, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23702 Us Highway 80 E, Statesboro, GA 30461 Phone: 912-489-4090 | |
Robert Moore Benson Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4451 Country Club Rd, Suite 3a, Statesboro, GA 30458 Phone: 912-764-2273 Fax: 912-489-4762 | |
Thaddeus H Riley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 23702 Hwy 80 E, Statesboro, GA 30458 Phone: 912-489-4090 Fax: 912-765-5028 | |
Dr. Aaron Taylor Clark, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 Hill Pond Ln, Statesboro, GA 30458 Phone: 912-623-2155 Fax: 912-623-2156 | |
Iris Kalin Clark, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1550 Brampton Ave, Ste B, Statesboro, GA 30458 Phone: 912-623-2155 Fax: 912-623-5156 |