| Byron Mainor, | |
|
4700 Waters Ave, Savannah, GA 31404-6220 | |
| (912) 350-3849 | |
| Not Available |
| Full Name | Byron Mainor |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 4700 Waters Ave, Savannah, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134171804 | NPI | - | NPPES |
| 843287 | Other | GA | BLUE CROSS BLUE SHIELD |
| 10064466 | Other | GA | AMERIGROUP |
| 942788011A | Medicaid | GA | |
| N355443 | Other | GA | WELLCARE |
| 942788011A | Other | GA | PEACH STATE HEALTH PLAN |
| Q0016E | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 52282 (South Carolina) | Primary |
| 207P00000X | Emergency Medicine | 52282 (Georgia) | Secondary |
| Entity Name | Georgia Emergency Physician Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285685156 PECOS PAC ID: 9032010764 Enrollment ID: O20040116000031 |
| Entity Name | Advanced Pediatric Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073046397 PECOS PAC ID: 9830468073 Enrollment ID: O20170703001659 |
| Entity Name | Hospitalist Medicine Physicians Of Georgia-tcg Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306325840 PECOS PAC ID: 8921492380 Enrollment ID: O20220301000207 |
| Mailing Address | Practice Location Address |
|---|---|
| Byron Mainor, 6896 W Snowville Rd, Brecksville, OH 44141-3214 Ph: () - | Byron Mainor, 4700 Waters Ave, Savannah, GA 31404-6220 Ph: (912) 350-3849 |
Bradley Post, Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 4700 Waters Ave, Savannah, GA 31404 Phone: 912-350-3849 | |
Eriny Hanna, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Ave, Savannah, GA 31404 Phone: 615-482-7119 | |
Donald Paul Taylor, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4700 Waters Ave, Emergency Department, Savannah, GA 31404 Phone: 912-350-3849 | |
Matthew Joseph Weis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5353 Reynolds St, Savannah, GA 31405 Phone: 912-819-6000 | |
Ruth Pannell Crider, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5 Executive Cir, Savannah, GA 31406 Phone: 912-355-2400 Fax: 912-355-5324 | |
Robert Risch, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Ave, Savannah, GA 31404 Phone: 912-350-3849 | |
Mary Kay Ross, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Waters Ave, Savannah, GA 31404 Phone: 912-350-3849 |