Stilianos E Kountakis, MD | |
1120 15th St, Bp-4109, Augusta, GA 30912-0004 | |
(706) 721-4400 | |
(706) 721-0112 |
Full Name | Stilianos E Kountakis |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 36 Years |
Location | 1120 15th St, Augusta, 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 |
---|---|---|---|
1508976770 | NPI | - | NPPES |
375068228A | Medicaid | GA | |
G53256 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 053256 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Au Medical Center | Augusta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Au Medical Associates Inc | 9931013513 | 585 |
Entity Name | Au Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
Entity Name | Wellstar Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Stilianos E Kountakis, MD 1499 Walton Way, Ste 1400, Augusta, GA 30901-2602 Ph: (706) 828-8401 | Stilianos E Kountakis, MD 1120 15th St, Bp-4109, Augusta, GA 30912-0004 Ph: (706) 721-4400 |
Dr. William H Moretz, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 818 Saint Sebastian Way, Suite 204, Augusta, GA 30901 Phone: 706-724-0668 Fax: 706-724-1124 | |
Dr. Hachem Jammal, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4400 | |
Forest Weir, Otolaryngology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 Fax: 706-721-1459 | |
Lillian Marie Day, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-6100 | |
Jacqueline Booth, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 928-460-3992 | |
Dr. Brandon Tapasak, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1120 15th Street Bp-4109, Augusta, GA 30912 Phone: 706-721-6100 | |
Achih Hung-chih Chen, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4400 Fax: 706-721-0112 |