| Dr Jennifer Michelle Pugliese, MD | |
|
300 W Hospital Rd, Fort Gordon, GA 30905-5741 | |
| (706) 787-2862 | |
| Not Available |
| Full Name | Dr Jennifer Michelle Pugliese |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Location | 300 W Hospital Rd, Fort Gordon, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710959689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 23111 (Nebraska) | Primary |
| Entity Name | Au Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| Entity Name | Archbold Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831353036 PECOS PAC ID: 8123196383 Enrollment ID: O20081001000632 |
| Entity Name | St Francis Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326749417 PECOS PAC ID: 8729381033 Enrollment ID: O20160120002073 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jennifer Michelle Pugliese, MD 300 Hospital Road, Urology Clinic, Apo, AA 30905-5650 Ph: () - | Dr Jennifer Michelle Pugliese, MD 300 W Hospital Rd, Fort Gordon, GA 30905-5741 Ph: (706) 787-2862 |
Dr. Aaron William Brothers, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 300 E Hospital Rd, Ddeamc, Fort Gordon, GA 30905 Phone: 706-787-3116 | |
Dr. Patrick Leidig, M.D. Urology Medicare: Medicare Enrolled Practice Location: 300 W Hospital Rd, Fort Gordon, GA 30905 Phone: 301-295-4000 |