| Brandon H Anderson, MD | |
|
163 S Tallahassee St, Hazlehurst, GA 31539-6465 | |
| (912) 375-7781 | |
| (912) 375-4055 |
| Full Name | Brandon H Anderson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 163 S Tallahassee St, Hazlehurst, 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 |
|---|---|---|---|
| 1063491637 | NPI | - | NPPES |
| 00856391K | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 048138 (Georgia) | Primary |
| 207P00000X | Emergency Medicine | ME82728 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Paragon Emergency Services Llc | 8628153087 | 326 |
| Entity Name | Paragon Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon H Anderson, MD Po Box 277329, Atlanta, GA 30384-7329 Ph: (800) 377-8721 | Brandon H Anderson, MD 163 S Tallahassee St, Hazlehurst, GA 31539-6465 Ph: (912) 375-7781 |
Leroy Winfield Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-375-7781 Fax: 912-375-4055 | |
William C. Chisholm, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-375-7781 Fax: 912-375-4055 | |
Vijay K. Mahathre, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-375-7781 Fax: 912-375-4055 | |
Dr. Roger John Venable, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-375-7781 | |
John J Rogers, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539 Phone: 912-375-7781 |