| Dr Santosh Shanmuga, MD | |
|
743 Spring St Ne, Gainesville, GA 30501-3715 | |
| (770) 219-9000 | |
| Not Available |
| Full Name | Dr Santosh Shanmuga |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 7 Years |
| Location | 743 Spring St Ne, Gainesville, 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 |
|---|---|---|---|
| 1386146769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 0101269085 (Virginia) | Secondary |
| 208800000X | Urology | 0101269085 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellmont Holston Valley Medical Center | Kingsport, TN | Hospital |
| Indian Path Community Hospital | Kingsport, TN | Hospital |
| Wellmont Bristol Regional Medical Center | Bristol, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellmont Medical Associates Inc | 8123291739 | 423 |
| Entity Name | Wellmont Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Santosh Shanmuga, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Dr Santosh Shanmuga, MD 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (770) 219-9000 |
Mr. William Bird Jones, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 660-a Lanier Park Drive, Gainesville, GA 30501 Phone: 770-535-0000 Fax: 770-532-3911 | |
Dr. Ryan Noelle Fogg, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se, Ste 200, Gainesville, GA 30501 Phone: 770-532-8438 Fax: 770-535-1785 | |
Dr. Quinton Victor Cancel, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8420 | |
Mr. Ronald Leroy Brock, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 660 Lanier Park Drive, Ste A, Gainesville, GA 30501 Phone: 770-535-0000 Fax: 770-532-3911 | |
Michael Grayson Simmons, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8430 | |
Mr. John Clay Mchugh, M.D. Urology Medicare: Medicare Enrolled Practice Location: 660-a Lanier Park Drive, Gainesville, GA 30501 Phone: 770-535-0000 Fax: 770-532-3911 | |
Dr. David S Woo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy, Suite 200, Gainesville, GA 30501 Phone: 770-532-8438 Fax: 770-535-1785 |