| Charles Galiwango, MD | |
|
1080 N Ellington Pkwy, Lewisburg, TN 37091-2227 | |
| (904) 805-1300 | |
| (904) 805-1302 |
| Full Name | Charles Galiwango |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 46 Years |
| Location | 1080 N Ellington Pkwy, Lewisburg, Tennessee |
| 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 |
|---|---|---|---|
| 1417900812 | NPI | - | NPPES |
| 4108860 | Other | TN | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 24890 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Tennessee Regional Hlth System Winchester | Winchester, TN | Hospital |
| Pemiscot County Memorial Hospital | Hayti, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pemiscot County Memorial Hospital | 8426024159 | 23 |
| Entity Name | Pemiscot County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578668661 PECOS PAC ID: 8426024159 Enrollment ID: O20070326000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Galiwango, MD Po Box 532734, Atlanta, GA 30353-2734 Ph: (904) 805-1300 | Charles Galiwango, MD 1080 N Ellington Pkwy, Lewisburg, TN 37091-2227 Ph: (904) 805-1300 |
Gary Swanson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1080 N Ellington Pkwy, Lewisburg, TN 37091 Phone: 904-805-1300 Fax: 904-805-1302 | |
Sonnepal Venkat, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1080 N Ellington Pkwy, Lewisburg, TN 37091 Phone: 904-805-1300 Fax: 904-805-1302 | |
Jim T Harris, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1080 N Ellington Pkwy, Lewisburg, TN 37091 Phone: 931-359-6241 |