| Pineland Mhmrsa | |
|
5 W Altman St Statesboro GA 30458-5212 | |
| (912) 764-6906 | |
| (912) 764-6466 |
| Full Name | Pineland Mhmrsa |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5 W Altman St, Statesboro, Georgia |
| Authorized Official Name and Position | June A. Dipolito (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9127646906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pineland Mhmrsa Po Box 745 5 West Altman Street Statesboro GA 30459-0745 Ph: (912) 764-6906 | Pineland Mhmrsa 5 W Altman St Statesboro GA 30458-5212 Ph: (912) 764-6906 |
| NPI Number | 1588735252 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 09/18/2007 |
| Medicare PECOS PAC ID | 6002898616 |
|---|---|
| Medicare Enrollment ID | O20040607000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588735252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Michael A Williams |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376504647 PECOS PAC ID: 9032015110 Enrollment ID: I20031210000006 |
| Provider Name | Ivy L Shuman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881693380 PECOS PAC ID: 6103818612 Enrollment ID: I20040402000147 |
| Provider Name | Joel S Bray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457467219 PECOS PAC ID: 8729082037 Enrollment ID: I20060829000157 |
| Provider Name | Thomas M Amburgey |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1841254976 PECOS PAC ID: 1658409420 Enrollment ID: I20100514000782 |
| Provider Name | Reemon Bishara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750308623 PECOS PAC ID: 0042203606 Enrollment ID: I20101207000975 |
| Provider Name | Jennfier H Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083962849 PECOS PAC ID: 0749432110 Enrollment ID: I20121211000115 |
| Provider Name | Michael E Daly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659748077 PECOS PAC ID: 7012226822 Enrollment ID: I20151019000642 |
| Provider Name | Marianne A Mainer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861868481 PECOS PAC ID: 8426367061 Enrollment ID: I20151021001052 |
| Provider Name | Qian Tang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033657333 PECOS PAC ID: 3274817382 Enrollment ID: I20170308001564 |
| Provider Name | Swaroop Reddy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235363581 PECOS PAC ID: 7416285119 Enrollment ID: I20190819003888 |
| Provider Name | Alana P Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174000509 PECOS PAC ID: 5496129405 Enrollment ID: I20230314002504 |
| Provider Name | Mandeep Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881219145 PECOS PAC ID: 3274958947 Enrollment ID: I20230330000076 |
| Provider Name | Nafiz K Sheikh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740805852 PECOS PAC ID: 8921422833 Enrollment ID: I20230501002923 |
Erin Lawson Psy.d. Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Coach Lee Hill Blvd, Statesboro, GA 30458 Phone: 912-388-1312 | |
Skills For Life Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 226 S. Zetterower Ave., Statesboro, GA 30458 Phone: 912-681-3331 | |
Hope For Life Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Raleigh Ct, Statesboro, GA 30458 Phone: 912-225-6920 | |
Dps Health And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Coach Lee Hill Blvd, Statesboro, GA 30458 Phone: 912-662-6501 Fax: 912-681-1012 | |
Rcdc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 S College St, Statesboro, GA 30458 Phone: 912-541-2809 | |
Statesboro Psychiatric Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Hill Pond Ln, Statesboro, GA 30458 Phone: 912-489-1629 Fax: 912-489-1630 | |
Fresh Start Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 326 Myrtle Crossing Dr, Suite 200, Statesboro, GA 30458 Phone: 912-489-7590 Fax: 912-489-3877 |