| Dr Kim Evelyn Schultheiss, MD | |
|
743 Spring St Ne, Gainesville, GA 30501 | |
| (770) 219-2627 | |
| (770) 219-2627 |
| Full Name | Dr Kim Evelyn Schultheiss |
|---|---|
| Gender | Female |
| Speciality | Critical Care (intensivists) |
| Experience | 27 Years |
| Location | 743 Spring St Ne, Gainesville, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831227560 | NPI | - | NPPES |
| 36113869 | Other | IL | ILLINIOS LICENSE |
| MD60429831 | Other | WA | PROFESSIONAL LICENSE |
| 4301087089 | Other | MI | MICHIGAN LICENSE |
| MD425491 | Other | PA | PENNSYLVANIA LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Research Medical Center | Kansas city, MO | Hospital |
| Kingman Regional Medical Center | Kingman, AZ | Hospital |
| Deaconess Medical Center | Spokane, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Methodist Medical Center Of Illinois | 1355259714 | 401 |
| Carle Health Care Incorporated | 3577515774 | 1537 |
| Missouri Intensivist Services Llc | 7719414986 | 20 |
| Apogee Medical Group Inc | 2961314265 | 97 |
| Multicare Health System | 7719899897 | 2296 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Entity Name | Decatur Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164477725 PECOS PAC ID: 6204731144 Enrollment ID: O20031203000685 |
| Entity Name | Cep America Illinois Intensivists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821641499 PECOS PAC ID: 0345535449 Enrollment ID: O20160829002157 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kim Evelyn Schultheiss, MD 322 E Central Blvd Unit 1009, Orlando, FL 32801-4324 Ph: (770) 219-8420 | Dr Kim Evelyn Schultheiss, MD 743 Spring St Ne, Gainesville, GA 30501 Ph: (770) 219-2627 |
Courtney L Grant, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 678-207-4000 Fax: 770-531-2435 | |
Mary Hannah Read, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-533-6523 | |
Phillip Patrick Rideout, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 360, Gainesville, GA 30501 Phone: 770-219-4000 | |
Derek Paul Pendarvis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-536-2323 Fax: 770-536-4947 | |
Julius Timothy Fulenwider, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1075 Jesse Jewell Pkwy Ne, Ste B, Gainesville, GA 30501 Phone: 770-536-5733 Fax: 770-534-2114 | |
James A. Butts Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-536-2323 Fax: 770-536-4947 | |
Dr. John C Hastings, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 S Enota Dr Ne Ste 380, Gainesville, GA 30501 Phone: 770-219-7099 Fax: 770-219-7923 |