| Dr William Leslie Hornback Iv, MD | |
|
1007 Greenfield Dr, Tifton, GA 31794-3795 | |
| (229) 382-9733 | |
| Not Available |
| Full Name | Dr William Leslie Hornback Iv |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 20 Years |
| Location | 1007 Greenfield Dr, Tifton, 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 |
|---|---|---|---|
| 1871619130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 57010975 (Ohio) | Secondary |
| 208600000X | Surgery | 066548 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tift Regional Medical Center | Tifton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tift Regional Health System Inc | 2062745169 | 262 |
| Entity Name | Tift Regional Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
| Entity Name | Tift Regional Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881203305 PECOS PAC ID: 2062745169 Enrollment ID: O20200217002409 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Leslie Hornback Iv, MD 907 18th St E Ste 400, Tifton, GA 31794-3684 Ph: (229) 382-9733 | Dr William Leslie Hornback Iv, MD 1007 Greenfield Dr, Tifton, GA 31794-3795 Ph: (229) 382-9733 |
Dr. Tracy Lynn Chason, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1007 Greenfield Drive, Tifton, GA 31794 Phone: 229-392-9733 | |
Timothy Fuller, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1641 Madison Ave, Tifton, GA 31794 Phone: 229-353-2284 | |
Forte David Mceachin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1007 Greenfield Dr, Tifton, GA 31794 Phone: 229-382-9733 Fax: 229-387-6161 | |
William H Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1007 Greenfield Dr, Tifton, GA 31794 Phone: 229-382-9733 Fax: 229-387-6161 | |
Joel M Johnson, MD Surgery Medicare: Medicare Enrolled Practice Location: 1007 Greenfield Drive, Tifton, GA 31794 Phone: 229-382-9733 Fax: 229-387-6161 | |
Dr. Paul Thomas Cartwright, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1007 Greenfield Dr, Tifton, GA 31794 Phone: 229-382-9733 |