| Ethan Rogers, MD | |
|
743 Spring St, Gainesville, GA 30501 | |
| (678) 862-1796 | |
| (770) 533-8949 |
| Full Name | Ethan Rogers |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 21 Years |
| Location | 743 Spring St, 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 |
|---|---|---|---|
| 1639220239 | NPI | - | NPPES |
| 429866120C | Medicaid | GA | |
| GRP4155 | Other | GA | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME99797 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | 059926 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
| Northeast Georgia Medical Center Lumpkin | Dahlonega, GA | Hospital |
| Habersham County Medical Ctr | Demorest, GA | Hospital |
| University Of Md St Joseph Medical Center | Towson, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia Emergency Department Services, P.c. | 5597751032 | 59 |
| Entity Name | Union County Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487684122 PECOS PAC ID: 3779490503 Enrollment ID: O20040102000231 |
| Entity Name | Georgia Emergency Department Services, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508886912 PECOS PAC ID: 5597751032 Enrollment ID: O20040517001016 |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Rogers, MD 743 Spring St, Gainesville, GA 30501 Ph: (678) 862-1796 | Ethan Rogers, MD 743 Spring St, Gainesville, GA 30501 Ph: (678) 862-1796 |
Jacob Leedekerken, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-1200 | |
Dr. Sharani Umayangani Jayaratne, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-1200 | |
Dr. Keith Edwin Leap Ii, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 786-357-9327 | |
Dr. Philippe Gadegbeku, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146 Fax: 770-536-7895 | |
Dr. George Houlditch, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-536-2146 | |
Heather Holstein, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 | |
Jason Sanghwa Oh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 |