| Erick Bournigal, MD | |
|
1111 Glynco Parkway, Suite 30, Brunswick, GA 31525-7930 | |
| (912) 267-1026 | |
| (912) 265-5415 |
| Full Name | Erick Bournigal |
|---|---|
| Gender | Male |
| Speciality | Rheumatology |
| Experience | 40 Years |
| Location | 1111 Glynco Parkway, Brunswick, 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 |
|---|---|---|---|
| 1275548547 | NPI | - | NPPES |
| 00435773B | Medicaid | GA | |
| 110181970 | Other | GA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RR0500X | Internal Medicine - Rheumatology | 33280 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Georgia Health System- Brunswick Campus | Brunswick, GA | Hospital |
| Southeast Georgia Health System -- Camden Campus | Saint marys, GA | Hospital |
| Wayne Memorial Hospital | Jesup, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cooperative Healthcare Services, Inc. | 9830093640 | 199 |
| American Arthritis And Rheumatology Associates-ga, Llc | 9830486257 | 15 |
| Entity Name | Cooperative Healthcare Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
| Entity Name | American Arthritis & Rheumatology Associates-ga, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851742068 PECOS PAC ID: 9830486257 Enrollment ID: O20160928000742 |
| Mailing Address | Practice Location Address |
|---|---|
| Erick Bournigal, MD 3025 Shrine Rd, Suite 280, Brunswick, GA 31520-4784 Ph: (912) 466-7311 | Erick Bournigal, MD 1111 Glynco Parkway, Suite 30, Brunswick, GA 31525-7930 Ph: (912) 267-1026 |
Avery Wade Strickland, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2500 Starling St, Suite #404, Brunswick, GA 31520 Phone: 912-264-1520 Fax: 912-264-1526 | |
Ms. Stephanie Irene Spencer, APRN Rheumatology Medicare: May Accept Medicare Assignments Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-7681 Fax: 912-264-2788 | |
Christopher Kolasa, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3025 Shrine Rd Ste 450, Brunswick, GA 31520 Phone: 912-264-6133 Fax: 912-267-1415 | |
William George Grubb, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 3025 Shrine Rd, Suite 450, Brunswick, GA 31520 Phone: 912-264-6133 Fax: 912-267-1415 | |
Viagnehy Fernandez, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-7188 Fax: 912-466-7185 | |
Jordan Ahnert, APRN Rheumatology Medicare: Medicare Enrolled Practice Location: 3226 Hampton Ave Ste A, Brunswick, GA 31520 Phone: 912-264-0760 | |
Mrs. Margaret Stoakes Tuten, FNPC, CDE Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 2500 Starling St, Suite 605, Brunswick, GA 31520 Phone: 912-466-5601 Fax: 912-466-5613 |