| Dr Ruth Ann Mazo, MD | |
|
230 E Derenne Ave, Savannah, GA 31405-6736 | |
| (912) 790-4068 | |
| (912) 790-4407 |
| Full Name | Dr Ruth Ann Mazo |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Location | 230 E Derenne Ave, Savannah, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568638666 | NPI | - | NPPES |
| 003107870A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 065481 (Georgia) | Primary |
| Entity Name | Urological Associates Of Savannah, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427013440 PECOS PAC ID: 6204748957 Enrollment ID: O20031103000192 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ruth Ann Mazo, MD Po Box 14459, Savannah, GA 31416-1459 Ph: (912) 790-4000 | Dr Ruth Ann Mazo, MD 230 E Derenne Ave, Savannah, GA 31405-6736 Ph: (912) 790-4068 |
Dr. Thomas Earl Shook, MD, MPH Urology Medicare: Accepting Medicare Assignments Practice Location: 230 E Derenne Ave, Savannah, GA 31405 Phone: 912-790-4000 Fax: 912-790-4407 | |
Dr. David L Cheng, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 230 E Derenne Ave, Savannah, GA 31405 Phone: 912-790-4000 Fax: 912-790-4407 | |
Dr. Michael Jon Cox, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 230 E Derenne Ave, Savannah, GA 31405 Phone: 912-790-4000 Fax: 912-790-4407 | |
Dr. Heather Morgan Wallace, MD Urology Medicare: Medicare Enrolled Practice Location: 230 E Derenne Ave, Savannah, GA 31405 Phone: 912-790-4000 Fax: 912-790-4407 | |
Adam Jenks, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 230 E Derenne Ave, Savannah, GA 31405 Phone: 912-790-4000 | |
Andrew Michigan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 230 E Derenne Ave, Savannah, GA 31405 Phone: 912-790-4000 |