| Dr Antonio Moran Jr, MD | |
|
1111 Glynco Pkwy Ste 35, Brunswick, GA 31525-7930 | |
| (912) 304-7013 | |
| (912) 342-1025 |
| Full Name | Dr Antonio Moran Jr |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 41 Years |
| Location | 1111 Glynco Pkwy Ste 35, Brunswick, 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 |
|---|---|---|---|
| 1396735908 | NPI | - | NPPES |
| 028147 | Other | GA | BCBS |
| 00471248H | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RX0202X | Internal Medicine - Medical Oncology | 34669 (Georgia) | Secondary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | 34669 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heartland Hospice Services- Brunswick | Brunswick, GA | Hospice |
| Southeast Georgia Health System- Brunswick Campus | Brunswick, GA | Hospital |
| Southeast Georgia Health System -- Camden Campus | Saint marys, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Oncology Partners Pa | 0042569758 | 278 |
| Entity Name | Cooperative Healthcare Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
| Entity Name | American Oncology Partners Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265929723 PECOS PAC ID: 0042569758 Enrollment ID: O20200615003208 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Antonio Moran Jr, MD Po Box 749495, Atlanta, GA 30374-9495 Ph: (239) 432-8331 | Dr Antonio Moran Jr, MD 1111 Glynco Pkwy Ste 35, Brunswick, GA 31525-7930 Ph: (912) 304-7013 |
Avery Wade Strickland, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2500 Starling St, Suite #404, Brunswick, GA 31520 Phone: 912-264-1520 Fax: 912-264-1526 | |
Ms. Stephanie Irene Spencer, APRN Hematology & Oncology Medicare: May Accept Medicare Assignments Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-7681 Fax: 912-264-2788 | |
Christopher Kolasa, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3025 Shrine Rd Ste 450, Brunswick, GA 31520 Phone: 912-264-6133 Fax: 912-267-1415 | |
William George Grubb, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 3025 Shrine Rd, Suite 450, Brunswick, GA 31520 Phone: 912-264-6133 Fax: 912-267-1415 | |
Viagnehy Fernandez, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-7188 Fax: 912-466-7185 | |
Jordan Ahnert, APRN Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 3226 Hampton Ave Ste A, Brunswick, GA 31520 Phone: 912-264-0760 | |
Mrs. Margaret Stoakes Tuten, FNPC, CDE Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2500 Starling St, Suite 605, Brunswick, GA 31520 Phone: 912-466-5601 Fax: 912-466-5613 |