| Gilberto Sostre, MD | |
|
1120 15th Street, Department Of Radiology, Augusta, GA 30912-0004 | |
| (706) 721-9729 | |
| (706) 721-8507 |
| Full Name | Gilberto Sostre |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 46 Years |
| Location | 1120 15th Street, Augusta, 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 |
|---|---|---|---|
| 1194836759 | NPI | - | NPPES |
| 0000892482A | Medicaid | GA | |
| G23684 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 023684 (Georgia) | Primary |
| 2085B0100X | Radiology - Body Imaging | 023684 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Au Medical Center | Augusta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Au Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| 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 | Au Health Imaging, Llc |
|---|---|
| Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
| Entity Identifiers | NPI Number: 1487285193 PECOS PAC ID: 4688094105 Enrollment ID: O20201021001583 |
| Mailing Address | Practice Location Address |
|---|---|
| Gilberto Sostre, MD 1499 Walton Way, Suite 1400, Provider Enrollment, Augusta, GA 30901-2602 Ph: (706) 828-8401 | Gilberto Sostre, MD 1120 15th Street, Department Of Radiology, Augusta, GA 30912-0004 Ph: (706) 721-9729 |
Michael A Winkler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 | |
Jagadishwar Devkota, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 20 Winged Foot Dr, Augusta, GA 30907 Phone: 706-414-8235 Fax: 706-364-2606 | |
Paul N. Karmin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-9729 Fax: 706-721-8507 | |
Juhi Bansal, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 | |
Dr. William Bruce Tannehill, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 630 13th St, Suite 250, Augusta, GA 30901 Phone: 706-724-2500 Fax: 706-823-5928 | |
Dr. Kandace Rhea Klein, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Ba-1411, Augusta, GA 30912 Phone: 706-721-3233 | |
Dr. Corey Garvin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 352-286-9383 |