John Michael Dorough, AA | |
161 Raymonds Grant Trce, Saint Simons Island, GA 31522-5393 | |
(912) 638-9734 | |
Not Available |
Full Name | John Michael Dorough |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 37 Years |
Location | 161 Raymonds Grant Trce, Saint Simons Island, 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 |
---|---|---|---|
1063460236 | NPI | - | NPPES |
100001809A | Medicaid | GA | |
100001811B | Medicaid | GA | |
P00410144 | Other | GA | RRB |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 001777 (Georgia) | Primary |
367H00000X | Anesthesiologist Assistant | AA91 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Georgia Anesthesia Associates, Pc | 1759349830 | 27 |
Entity Name | Tift Regional Health System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
Entity Name | Piedmont Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407856594 PECOS PAC ID: 3577457183 Enrollment ID: O20040212000604 |
Entity Name | South Georgia Anesthesia Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285605733 PECOS PAC ID: 1759349830 Enrollment ID: O20041221000350 |
Mailing Address | Practice Location Address |
---|---|
John Michael Dorough, AA 161 Raymonds Grant Trce, Saint Simons Island, GA 31522-5393 Ph: (912) 571-0808 | John Michael Dorough, AA 161 Raymonds Grant Trce, Saint Simons Island, GA 31522-5393 Ph: (912) 638-9734 |
Mrs. Elizabeth Y Fletcher, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 106 Retreat Vlg, Saint Simons Island, GA 31522 Phone: 912-434-9316 Fax: 912-357-1401 | |
Heather Suzanne Brock, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Saint Clair Pkwy, Saint Simons Island, GA 31522 Phone: 678-446-7351 |