Vijay K Mahathre, MD | |
163 S Tallahassee St, Hazlehurst, GA 31539-6465 | |
(912) 375-7781 | |
(912) 375-4055 |
Full Name | Vijay K Mahathre |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 43 Years |
Location | 163 S Tallahassee St, Hazlehurst, 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 |
---|---|---|---|
1528047016 | NPI | - | NPPES |
52581283022 | Other | GA | BLUECROSS BLUESHIELD |
000721201S | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 041612 (Georgia) | Secondary |
207Q00000X | Family Medicine | 41612 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Navicent Health Baldwin | Milledgeville, GA | Hospital |
Bleckley Memorial Hospital | Cochran, GA | Hospital |
Dodge County Hospital | Eastman, GA | Hospital |
Jasper Memorial Hospital | Monticello, GA | Hospital |
Taylor Regional Hospital | Hawkinsville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southland Hawkinsville Emergency Medical Services, Llc | 2769600642 | 10 |
Southland Emergency Medical Services Consolidated, Llc | 4183871320 | 38 |
United Emergency Services Inc. | 5799697272 | 24 |
Baldwin Emergency Group, Llc | 7012208408 | 9 |
Southland Dodge Emergency Medical Services, Llc | 8224360805 | 14 |
Southland Cochran Emergency Medical Services Llc | 9638398027 | 17 |
Southland Optim Screven Emergency Medical Services Llc | 9739480021 | 16 |
Entity Name | United Emergency Services Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326007915 PECOS PAC ID: 5799697272 Enrollment ID: O20040819000058 |
Entity Name | Acs Primary Care Physicians - Southeast Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
Entity Name | Oconee Regional Medical Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316938459 PECOS PAC ID: 3577589522 Enrollment ID: O20051019000125 |
Entity Name | Ben Hill Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043328156 PECOS PAC ID: 3274530837 Enrollment ID: O20061025000232 |
Entity Name | Southland Emergency Medical Services Consolidated, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503 |
Entity Name | Georgia Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952746638 PECOS PAC ID: 4082853262 Enrollment ID: O20130619000316 |
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 |
Entity Name | Southland Hawkinsville Emergency Medical Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891100962 PECOS PAC ID: 2769600642 Enrollment ID: O20140908000486 |
Entity Name | Southland Cochran Emergency Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205241395 PECOS PAC ID: 9638398027 Enrollment ID: O20140917001247 |
Entity Name | Southland Taylor Hospitalist Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093120909 PECOS PAC ID: 6800015959 Enrollment ID: O20140922002775 |
Entity Name | Southland Optim Screven Emergency Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174917157 PECOS PAC ID: 9739480021 Enrollment ID: O20151210000476 |
Entity Name | Baldwin Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306206826 PECOS PAC ID: 7012208408 Enrollment ID: O20160615000222 |
Entity Name | Southland Dodge Emergency Medical Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851958607 PECOS PAC ID: 8224360805 Enrollment ID: O20191031001338 |
Mailing Address | Practice Location Address |
---|---|
Vijay K Mahathre, MD Po Box 277329, Atlanta, GA 30384-7329 Ph: (800) 377-8721 | Vijay K Mahathre, MD 163 S Tallahassee St, Hazlehurst, GA 31539-6465 Ph: (912) 375-7781 |
David L Shumans, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 38 S Tallahassee St, Suite 2, Hazlehurst, GA 31539 Phone: 912-375-9424 Fax: 912-374-9426 | |
Preston Allen Crawford, NP-C Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 11 Johnson St, Hazlehurst, GA 31539 Phone: 800-367-0816 Fax: 912-525-1933 | |
Dr. Kirk Alessandro Munsayac, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Cross Street, Hazlehurst, GA 31539 Phone: 912-375-4884 Fax: 912-375-4881 | |
David L Turfler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 209 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-375-3095 Fax: 912-375-7973 |