| Dr Mary Grace Soon, MD | |
|
4370 W Main St, Dothan, AL 36305-1056 | |
| (334) 793-5000 | |
| Not Available |
| Full Name | Dr Mary Grace Soon |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 25 Years |
| Location | 4370 W Main St, Dothan, Alabama |
| 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 |
|---|---|---|---|
| 1730384421 | NPI | - | NPPES |
| 912934550E | Medicaid | GA | |
| MD-14409 | Other | HI | LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 060322 (Georgia) | Secondary |
| 208M00000X | Hospitalist | MD-14409 (Hawaii) | Secondary |
| 208M00000X | Hospitalist | MD.33053 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Columbus Regional Midtown | Columbus, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Muscogee Hospitalist Services, Llc | 8921368564 | 35 |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
| Entity Name | Southeastern Hospitalist Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003280108 PECOS PAC ID: 3476855420 Enrollment ID: O20160107001140 |
| Entity Name | Muscogee Hospitalist Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639681851 PECOS PAC ID: 8921368564 Enrollment ID: O20180130003094 |
| Entity Name | Benning Hospitalist Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215442173 PECOS PAC ID: 5698038479 Enrollment ID: O20180409000613 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Grace Soon, MD 6005 N Pointe Dr, Columbus, GA 31909-3890 Ph: (706) 888-3485 | Dr Mary Grace Soon, MD 4370 W Main St, Dothan, AL 36305-1056 Ph: (334) 793-5000 |
Michelle Ijaz, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-712-3329 | |
Dr. Sudharsan Aswin Elamparithi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4370 W Main St, Dothan, AL 36305 Phone: 334-793-5000 | |
Abdul Mateen Chaudry, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir Ste 210, Dothan, AL 36301 Phone: 334-712-3329 Fax: 334-305-0219 | |
Dr. Qamar Gulzar, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir Ste 210, Dothan, AL 36301 Phone: 334-712-3329 |