| Dr Dane Gregory, MD | |
|
320 Double Tree Dr Se, Calhoun, GA 30701-4665 | |
| (706) 602-9771 | |
| Not Available |
| Full Name | Dr Dane Gregory |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 29 Years |
| Location | 320 Double Tree Dr Se, Calhoun, 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 |
|---|---|---|---|
| 1134177058 | NPI | - | NPPES |
| 121044531A | Medicaid | GA | |
| 417905286 | Other | GA | TRICARE |
| 000941366L | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 050884 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tanner Medical Center - Carrollton | Carrollton, GA | Hospital |
| Piedmont Mountainside Hospital Inc | Jasper, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tmc-west Georgia Anesthesia Associates Inc. | 2365456308 | 65 |
| Fortis Health, Llc | 8325446305 | 13 |
| Entity Name | Tmc-west Georgia Anesthesia Associates Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740252022 PECOS PAC ID: 2365456308 Enrollment ID: O20060130000647 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Entity Name | Fortis Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659960276 PECOS PAC ID: 8325446305 Enrollment ID: O20211005002270 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dane Gregory, MD 320 Double Tree Dr Se, Calhoun, GA 30701-4665 Ph: (706) 602-9771 | Dr Dane Gregory, MD 320 Double Tree Dr Se, Calhoun, GA 30701-4665 Ph: (706) 602-9771 |
David E Kline, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1035 Red Bud Rd Ne, Calhoun, GA 30701 Phone: 706-602-7800 | |
Corwyn Dean Fortner, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1035 Red Bud Rd Ne, Calhoun, GA 30701 Phone: 706-879-4776 Fax: 706-879-4781 | |
Laverne Richford Keizer, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1035 Red Bud Rd Ne, Calhoun, GA 30701 Phone: 706-879-4776 Fax: 706-879-5841 | |
James T Palmer, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1035 Red Bud Rd Ne, Calhoun, GA 30701 Phone: 706-602-9995 Fax: 706-624-0271 | |
Dr. William Anthony David Brannon, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1035 Red Bud Rd Ne, Calhoun, GA 30701 Phone: 706-602-9995 Fax: 706-624-0271 | |
Jodi Kuhlman, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1035 Red Bud Rd Ne, Calhoun, GA 30701 Phone: 706-879-4776 Fax: 706-879-5841 |