| Dr Edward Scott Gronka, MD | |
|
874 W Lanier Ave, One Prestige Park Suite 100, Fayetteville, GA 30214-1511 | |
| (770) 461-4000 | |
| (770) 461-2790 |
| Full Name | Dr Edward Scott Gronka |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 40 Years |
| Location | 874 W Lanier Ave, Fayetteville, 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 |
|---|---|---|---|
| 1306838099 | NPI | - | NPPES |
| 00502433A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 035431 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Aesthetics, P.c | 0840271482 | 3 |
| Entity Name | Advanced Aesthetics, P.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144212846 PECOS PAC ID: 0840271482 Enrollment ID: O20040528000279 |
| Entity Name | City Of Hope Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward Scott Gronka, MD 874 W Lanier Ave, One Prestige Park Suite 100, Fayetteville, GA 30214-1511 Ph: (770) 461-4000 | Dr Edward Scott Gronka, MD 874 W Lanier Ave, One Prestige Park Suite 100, Fayetteville, GA 30214-1511 Ph: (770) 461-4000 |
Dr. Paul David Feldman, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 874 W Lanier Ave, Suite 100, Fayetteville, GA 30214 Phone: 770-461-4000 Fax: 770-461-2790 | |
Dr. Joseph Raniere,jr, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 874 W Lanier Ave, One Prestige Park Suite 100, Fayetteville, GA 30214 Phone: 770-461-4000 Fax: 770-461-2790 |