| Gary Edward Decesare, MD | |
|
1405 Cowart St Ste 201, Chattanooga, TN 37408-1178 | |
| (423) 220-3596 | |
| Not Available |
| Full Name | Gary Edward Decesare |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 1405 Cowart St Ste 201, Chattanooga, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093941635 | NPI | - | NPPES |
| PENDING | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 88698 (Georgia) | Primary |
| 208200000X | Plastic Surgery | ME123142 (Florida) | Secondary |
| Entity Name | Halifax Healthcare Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Edward Decesare, MD 1405 Cowart St Ste 201, Chattanooga, TN 37408-1178 Ph: (423) 220-3596 | Gary Edward Decesare, MD 1405 Cowart St Ste 201, Chattanooga, TN 37408-1178 Ph: (423) 220-3596 |
Dr. Christopher W Chase, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 3404 Navajo Dr, Chattanooga, TN 37411 Phone: 423-624-0021 Fax: 423-624-5258 | |
Dr. Arthur J Vonwerssowetz, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2337 Mccallie Ave, Suite 303, Chattanooga, TN 37404 Phone: 423-624-0021 Fax: 423-624-5258 | |
Dr. Mark H Leech, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1616 Gunbarrel Rd, Suite 103, Chattanooga, TN 37421 Phone: 423-826-8200 Fax: 423-826-8201 | |
Dr. Cindy Marie Mccord, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 7161 Lee Hwy Ste 300, Chattanooga, TN 37421 Phone: 423-418-6369 Fax: 615-235-1300 | |
James Robert Shire, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6151 Shallowford Rd, Suite 101, Chattanooga, TN 37421 Phone: 423-870-3223 Fax: 423-870-3276 |