| Gary Edward Siegel, MD | |
|
1700 Medical Way, Snellville, GA 30078-2195 | |
| (770) 979-9996 | |
| Not Available |
| Full Name | Gary Edward Siegel |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 34 Years |
| Location | 1700 Medical Way, Snellville, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548241151 | NPI | - | NPPES |
| 000543661G | Medicaid | GA | |
| 000543661I | Medicaid | GA | |
| 050048443 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 036289 (Georgia) | Primary |
| 207LP2900X | Anesthesiology - Pain Medicine | 036289 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Forsyth | Cumming, GA | Hospital |
| Eastside Medical Center | Snellville, GA | Hospital |
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Atlanta Anesthesia Professionals, Llc | 5496134348 | 485 |
| Premier Anesthesia Of Georgia Llc | 6608123724 | 53 |
| Mak Anesthesia Georgia, Llc | 7315203718 | 92 |
| Entity Name | New London Anesthesia & Pain Consultants, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396854485 PECOS PAC ID: 7113915950 Enrollment ID: O20040503000312 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | Mak Anesthesia Northside Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
| Entity Name | Premier Anesthesia Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811403207 PECOS PAC ID: 6608123724 Enrollment ID: O20180720001402 |
| Entity Name | North Atlanta Anesthesia Professionals, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Edward Siegel, MD Po Box 3559, Suwanee, GA 30024-0993 Ph: (770) 979-9996 | Gary Edward Siegel, MD 1700 Medical Way, Snellville, GA 30078-2195 Ph: (770) 979-9996 |
Dr. William Paul Ives, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1976 Main St E, Suite C, Snellville, GA 30078 Phone: 770-982-2099 Fax: 770-982-9045 | |
Dr. Sriharsha S Tanguturi, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 2306 Wisteria Dr Ste 100, Snellville, GA 30078 Phone: 770-979-8200 | |
Wayne Goode Hutchens, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-9996 | |
Cary Bruce Gilman, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-9996 | |
Michael A Guerzon, AA Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1700 Medical Way, Attn: Anesthesia Department, Snellville, GA 30078 Phone: 770-979-9996 Fax: 770-979-1202 | |
Alfonso T Dampog, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2131 Fountain Dr, Snellville, GA 30078 Phone: 770-979-8200 | |
Wilfrido Matinezo Magat, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-9996 Fax: 770-979-1202 |