| Dr Mohammad N Al Shroof, MD | |
|
2054 Watson Blvd, Warner Robins, GA 31093-3634 | |
| (478) 918-0770 | |
| (478) 918-0771 |
| Full Name | Dr Mohammad N Al Shroof |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 33 Years |
| Location | 2054 Watson Blvd, Warner Robins, 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 |
|---|---|---|---|
| 1578519286 | NPI | - | NPPES |
| 000807155I | Medicaid | GA | |
| 000807155R | Medicaid | GA | |
| 614236400 | Other | GA | DEPT OF LABOR |
| 1578519286 | Other | NPI | |
| 468916 | Other | GA | WELLCARE |
| 000807155AB | Medicaid | GA | |
| 511I110627 | Other | MEDICARE PTAN | |
| 000807155AC | Medicaid | GA | |
| 867194728A | Other | GA | GBHC |
| 110237442 | Other | GA | MEDICARE RAILROAD# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 045158 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health Home Health | Macon, GA | Home health agency |
| Amedisys Home Health Of Macon | Macon, GA | Home health agency |
| Three Rivers Home Health Services, Inc | Macon, GA | Home health agency |
| Navicent Home Health | Macon, GA | Home health agency |
| Houston Medical Center | Warner robins, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Medical Center Of Peach County, Navicent Health | Byron, GA | Hospital |
| Warner Robins Rehabilitation Center | Warner robins, GA | Nursing home |
| Lodge, The | Warner robins, GA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Medical Group, P.c. | 3577559673 | 94 |
| Houston Hospitals Inc | 4284797580 | 27 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| Entity Name | Southeast Medical Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347 |
| Entity Name | Medical Group Of Central Georgia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083860779 PECOS PAC ID: 1658449491 Enrollment ID: O20081007000685 |
| Entity Name | Houston Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891808499 PECOS PAC ID: 4284797580 Enrollment ID: O20091130000039 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mohammad N Al Shroof, MD 2054 Watson Blvd, Warner Robins, GA 31093-3634 Ph: (478) 918-0770 | Dr Mohammad N Al Shroof, MD 2054 Watson Blvd, Warner Robins, GA 31093-3634 Ph: (478) 918-0770 |
Dr. Richard Lyndon Smith Jr., M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1260 Russell Pkwy, Warner Robins, GA 31088 Phone: 478-929-4100 Fax: 478-329-8814 | |
Preethi Mereddy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1719 Russell Pkwy Ste 700, Warner Robins, GA 31088 Phone: 478-328-7674 Fax: 478-328-1393 | |
Bilal Rauf Khan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1654 Watson Blvd, Warner Robins, GA 31093 Phone: 478-225-9882 Fax: 478-293-1217 | |
Navin Taneja, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Hospital Dr, Warner Robins, GA 31088 Phone: 478-225-9983 Fax: 478-225-9981 | |
Dr. Gary Myrthil, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 Osigian Blvd Ste 100, Warner Robins, GA 31088 Phone: 478-953-2212 Fax: 478-953-2228 | |
Dr. John C Sams, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1719 Russell Pkwy Ste 700, Warner Robins, GA 31088 Phone: 478-328-7674 | |
Dr. Daniel Oliver Fussell, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1201 Briarcliff Rd., Warner Robins, GA 31088 Phone: 478-922-6413 |