William Benjamin Smisson, MD | |
1157 Forsyth St Ste 200, Macon, GA 31201-7454 | |
(478) 476-1968 | |
Not Available |
Full Name | William Benjamin Smisson |
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Gender | Male |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 1157 Forsyth St Ste 200, Macon, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1992138366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208VP0014X | Pain Medicine - Interventional Pain Medicine | 77206 (Georgia) | Primary |
207L00000X | Anesthesiology | 77206 (Georgia) | Secondary |
Entity Name | Erx Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760823082 PECOS PAC ID: 9335037571 Enrollment ID: O20130930000326 |
Entity Name | Georgia Interventional Pain Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245935261 PECOS PAC ID: 9931548377 Enrollment ID: O20240417002853 |
Mailing Address | Practice Location Address |
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William Benjamin Smisson, MD 4163 Canyon Rd, Macon, GA 31210-4742 Ph: (478) 808-5388 | William Benjamin Smisson, MD 1157 Forsyth St Ste 200, Macon, GA 31201-7454 Ph: (478) 476-1968 |
Dr. Carlos Jorge Giron, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 3356 Vineville Ave, Macon, GA 31204 Phone: 478-476-9886 Fax: 478-476-9976 | |
Hollie R Holloway, FNP-C Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 3356 Vineville Ave, Macon, GA 31204 Phone: 478-476-9642 | |
Dr. Grace Duque-dizon, M.D. Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 3356 Vineville Ave, Macon, GA 31204 Phone: 478-476-9642 Fax: 478-476-9976 | |
Jeremy Jacob Prine, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Riverside Dr, Bldg C, Macon, GA 31210 Phone: 478-474-2947 Fax: 478-971-4004 | |
Dr. Stephen N. Tafor, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Preston Ct, Suite 103, Macon, GA 31210 Phone: 478-745-2385 Fax: 478-745-1225 |