| Dr Anthony Dhiantie Goei, MD | |
|
743 Spring St Ne, Gainesville, GA 30501-3715 | |
| (710) 219-9103 | |
| Not Available |
| Full Name | Dr Anthony Dhiantie Goei |
|---|---|
| Gender | Male |
| Speciality | Radiology - Vascular & Interventional Radiology |
| Location | 743 Spring St Ne, Gainesville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255321915 | NPI | - | NPPES |
| 320604YR70 | Other | TX | MEDICARE PTAN |
| 320604YPM9 | Other | TX | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | P0055 (Texas) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 77040 (Georgia) | Primary |
| Entity Name | Au Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| Entity Name | Umg Vascular, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568894087 PECOS PAC ID: 4688808488 Enrollment ID: O20131010000652 |
| Entity Name | Amgir, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538693197 PECOS PAC ID: 6406127612 Enrollment ID: O20170807002109 |
| Entity Name | Preferred Vascular Services Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861992976 PECOS PAC ID: 3577812312 Enrollment ID: O20180828000280 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony Dhiantie Goei, MD Po Box 1705, Augusta, GA 30903-1705 Ph: (706) 774-7022 | Dr Anthony Dhiantie Goei, MD 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (710) 219-9103 |
Dr. Scott M Stephen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Dr. Ajay Kumar Ravi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 | |
Ms. Neha Agrawal, Radiology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 | |
Dr. John C Tonkin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 | |
Dr. Lee A Martin Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Dr. Brian P Gay, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 425 Broad St Se, Suite 102, Gainesville, GA 30501 Phone: 770-718-9776 Fax: 770-718-1910 | |
Jeffrey Waltz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 |