Mr Harry Mallette Peagler Iv, AA | |
304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | |
(706) 509-5000 | |
Not Available |
Full Name | Mr Harry Mallette Peagler Iv |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 6 Years |
Location | 304 Turner Mccall Blvd Sw, Rome, 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 |
---|---|---|---|
1457833105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Floyd Medical Center | Rome, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Georgia Group Services, Llc | 0840338018 | 65 |
Entity Name | Georgia Group Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093947236 PECOS PAC ID: 0840338018 Enrollment ID: O20091109000203 |
Mailing Address | Practice Location Address |
---|---|
Mr Harry Mallette Peagler Iv, AA 2203 Claridge Dr Se, Rome, GA 30161-8580 Ph: (912) 470-9764 | Mr Harry Mallette Peagler Iv, AA 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 Ph: (706) 509-5000 |
Douglas E Mcniece, PA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 501 Redmond Rd Nw, Anesthesiology Department, Rome, GA 30165 Phone: 706-291-0291 | |
Jeffrey Lee Mahoney, PA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 501 Redmond Rd Nw, Rome, GA 30165 Phone: 706-291-0291 | |
Stephen Mark Walker, PAAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 330 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-802-2000 Fax: 706-233-9846 | |
Mr. Charles E. Hufstetler, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 Redmond Rd Nw, Rome, GA 30165 Phone: 706-291-0291 | |
Mr. Billy Don Deberry Iii, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-509-5000 | |
Magdalene Jo Magee, PA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 501 Redmond Rd Nw, Anesthesiology Department, Rome, GA 30165 Phone: 706-368-8022 Fax: 706-368-8452 |