| George G Feussner Md Pa | |
|
7106 Nw 11th Place Suite A Gainesville FL 32605-3157 | |
| (352) 331-6430 | |
| (352) 331-3515 |
| Full Name | George G Feussner Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7106 Nw 11th Place, Gainesville, Florida |
| Authorized Official Name and Position | George G Feussner (OWNER PRESIDENT) |
| Authorized Official Contact | 3523316430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| George G Feussner Md Pa 7106 Nw 11th Place Suite A Gainesville FL 32605-3157 Ph: (352) 331-6430 | George G Feussner Md Pa 7106 Nw 11th Place Suite A Gainesville FL 32605-3157 Ph: (352) 331-6430 |
| NPI Number | 1346348281 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 06/18/2012 |
| Medicare PECOS PAC ID | 3375694490 |
|---|---|
| Medicare Enrollment ID | O20090701000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346348281 | NPI | - | NPPES |
| 057519400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME0019836 (Florida) | Primary |
| Provider Name | George Md Feussner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487752333 PECOS PAC ID: 4284794033 Enrollment ID: I20081124000343 |
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