| Dr Brian Eric Gaupp, MD | |
|
919 S Broad St, Thomasville, GA 31792-6114 | |
| (229) 584-5400 | |
| Not Available |
| Full Name | Dr Brian Eric Gaupp |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Hematology & Oncology |
| Location | 919 S Broad St, Thomasville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649265430 | NPI | - | NPPES |
| 830007293 | Other | GA | RAILROAD MEDICARE |
| 00837845C | Medicaid | GA | |
| 52782026 | Other | GA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 047594 (Georgia) | Primary |
| Entity Name | Colquitt Regional Oncology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811358567 PECOS PAC ID: 7214229954 Enrollment ID: O20160715002051 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Eric Gaupp, MD 920 Cairo Rd, Thomasville, GA 31792-4255 Ph: (229) 228-2970 | Dr Brian Eric Gaupp, MD 919 S Broad St, Thomasville, GA 31792-6114 Ph: (229) 584-5400 |
Dr. Prashant Baliga, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-8575 | |
Keerthi Kiran Ponugoti, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2705 E Pinetree Blvd Ste C, Thomasville, GA 31792 Phone: 229-584-5731 Fax: 229-584-5941 | |
Jasmine Mutti, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 100 Mimosa Dr Ste 1l, Thomasville, GA 31792 Phone: 229-228-2410 | |
William W Ellis, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-551-0083 Fax: 229-227-9642 | |
Dr. James Monroe Hunt, DO Hematology & Oncology Medicare: May Accept Medicare Assignments Practice Location: 235 W Jackson St, Thomasville, GA 31792 Phone: 229-236-5455 | |
Dr. Raul Gabriel Santos, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 334 Smith Ave, Thomasville, GA 31792 Phone: 229-227-1595 Fax: 229-227-1385 | |
Dr. Asif Rashid Shah, MBBS Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-8575 |