| Courtland Mccollum Buntin, | |
|
417 W 3rd Ave, Albany, GA 31701-1943 | |
| (229) 312-4200 | |
| Not Available |
| Full Name | Courtland Mccollum Buntin |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 1 Years |
| Location | 417 W 3rd Ave, Albany, 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 |
|---|---|---|---|
| 1679397210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LC0200X | Anesthesiology - Critical Care Medicine | 12696 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Phoebe Putney Memorial Hospital | Albany, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoebe Physician Group Inc | 8426112350 | 375 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtland Mccollum Buntin, 417 W 3rd Ave, Albany, GA 31701-1943 Ph: () - | Courtland Mccollum Buntin, 417 W 3rd Ave, Albany, GA 31701-1943 Ph: (229) 312-4200 |
Dr. Robert B Sperrazza, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2000 Palmyra Rd, Albany, GA 31701 Phone: 229-438-8077 | |
Dr. Mark Macgillivray Shoemaker, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 406 W 1st Ave, Albany, GA 31701 Phone: 229-439-9400 Fax: 229-436-3718 | |
Dr. Bradley Johnston Germany, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 406 W 1st Ave, Albany, GA 31701 Phone: 229-439-9400 Fax: 229-436-3718 | |
Dr. Susan Jeda Dollosa Orillosa, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave Ste 300, Albany, GA 31701 Phone: 229-312-0300 | |
Dr. Lamar Houston Moree Jr., M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Phoebe Putney Memorial Pain Management Center, Albany, GA 31701 Phone: 229-312-0300 Fax: 229-436-3718 | |
Dr. Michael Nevins Laslie, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 406 W 1st Ave, Albany, GA 31701 Phone: 229-439-9400 Fax: 229-436-3718 | |
Dr. Jason Christopher Williams, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 406 W 1st Ave, Albany, GA 31701 Phone: 229-439-9400 Fax: 229-436-3718 |