| Daniel A Deighton, MD | |
|
233 N Houston Rd, Suite 140-f, Warner Robins, GA 31093-3074 | |
| (478) 293-1580 | |
| (478) 293-1583 |
| Full Name | Daniel A Deighton |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 39 Years |
| Location | 233 N Houston Rd, Warner Robins, 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 |
|---|---|---|---|
| 1508814211 | NPI | - | NPPES |
| 000670612C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 040361 (Georgia) | Secondary |
| 208800000X | Urology | 040361 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Flowers Hospital | Dothan, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wiregrass Clinic Llc | 2860662491 | 62 |
| Entity Name | Wiregrass Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558657890 PECOS PAC ID: 2860662491 Enrollment ID: O20110908002136 |
| Entity Name | Southeastern Urology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760023634 PECOS PAC ID: 0648695254 Enrollment ID: O20200729003699 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel A Deighton, MD Po Box 7567, Warner Robins, GA 31095-7567 Ph: (478) 293-1580 | Daniel A Deighton, MD 233 N Houston Rd, Suite 140-f, Warner Robins, GA 31093-3074 Ph: (478) 293-1580 |
Dr. Trent Douglas Sterenchock, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 233 N Houston Rd Ste 100, Warner Robins, GA 31093 Phone: 478-352-7020 Fax: 478-293-1583 | |
Melvin Lee Christopher Fussell, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1770 Watson Blvd, Warner Robins, GA 31093 Phone: 478-333-6961 Fax: 478-333-6964 |