| Mr Mark F Coffey, MD | |
|
5629 Hwy. 21 South, Rincon, GA 31326 | |
| (912) 295-2133 | |
| (912) 295-5924 |
| Full Name | Mr Mark F Coffey |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 5629 Hwy. 21 South, Rincon, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144260274 | NPI | - | NPPES |
| G51450 | Medicaid | SC | |
| 000948813D | Medicaid | GA | |
| 0100948813C | Medicaid | GA | |
| 000948813B | Medicaid | GA | |
| 000948813A | Medicaid | GA | |
| 000948813F | Medicaid | SC | |
| 10058598 | Other | GA | AMERIGROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 27447 (South Carolina) | Secondary |
| 207P00000X | Emergency Medicine | 051450 (Georgia) | Primary |
| Entity Name | Georgia Emergency Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528098290 PECOS PAC ID: 1052216389 Enrollment ID: O20031201000427 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark F Coffey, MD 5629 Hwy. 21 South, Rincon, GA 31326 Ph: (912) 295-2133 | Mr Mark F Coffey, MD 5629 Hwy. 21 South, Rincon, GA 31326 Ph: (912) 295-2133 |
Dr. Thomas Reagan Wolf, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5629 Hwy 21 S, Rincon, GA 31326 Phone: 912-295-2133 Fax: 912-295-5924 | |
Carlene Williams, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5629 Highway 21 S, Rincon, GA 31326 Phone: 912-295-2133 | |
Megan D Hershey, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5629 Hwy 21 S, Rincon, GA 31326 Phone: 912-295-2133 | |
James R Gill, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5629 Hwy 21 South, Rincon, GA 31326 Phone: 912-295-2133 Fax: 912-295-5924 | |
Andrew R Tee Vi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5629 Hwy 21 South, Rincon, GA 31326 Phone: 912-295-2133 Fax: 912-295-5924 | |
David Stephen Wong, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5629 Hwy 21 S, Rincon, GA 31326 Phone: 912-295-2133 Fax: 912-295-5924 |