| Dr Douglas B Widener, MD | |
|
1495 Hickory Flat Hwy Ste 200, Canton, GA 30115-4229 | |
| (678) 505-4455 | |
| (678) 505-4446 |
| Full Name | Dr Douglas B Widener |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 17 Years |
| Location | 1495 Hickory Flat Hwy Ste 200, Canton, 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 |
|---|---|---|---|
| 1104088566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 063452 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Northwest Home Health | Jasper, GA | Home health agency |
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Adventhealth Gordon | Calhoun, GA | Hospital |
| Adventhealth Murray | Chatsworth, GA | Hospital |
| Union General Hospital | Blairsville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Resurgens, Llc | 1153224142 | 148 |
| Entity Name | Resurgens, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386697928 PECOS PAC ID: 1153224142 Enrollment ID: O20040128000595 |
| Entity Name | Mayo Clinic Health System In Waycross, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154745982 PECOS PAC ID: 0042124919 Enrollment ID: O20040308000639 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas B Widener, MD 1495 Hickory Flat Hwy Ste 200, Canton, GA 30115-4229 Ph: (678) 505-4455 | Dr Douglas B Widener, MD 1495 Hickory Flat Hwy Ste 200, Canton, GA 30115-4229 Ph: (678) 505-4455 |
Dr. Douglas W Clanton, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 230 Marietta Hwy, Suite 100, Canton, GA 30114 Phone: 770-479-4777 Fax: 770-479-9491 | |
Dr. Brian Elliot Seng, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 470 Northside Cherokee Blvd Ste 160, Canton, GA 30115 Phone: 770-292-6500 Fax: 770-292-6535 | |
Anthony Coker Cantrell, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 470 Northside Cherokee Blvd Ste 180, Canton, GA 30115 Phone: 770-517-6636 Fax: 770-517-6568 |