| Guy J Petruzzelli, MD, PHD | |
|
4700 Waters Ave, Savannah, GA 31404 | |
| (912) 350-2299 | |
| (912) 350-2298 |
| Full Name | Guy J Petruzzelli |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 39 Years |
| Location | 4700 Waters Ave, Savannah, 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 |
|---|---|---|---|
| 1528045481 | NPI | - | NPPES |
| 003124903A | Medicaid | GA | |
| 003124903B | Medicaid | GA | |
| 691344 | Other | GA | WELLCARE |
| P01069298 | Other | GA | RAILROAD MEDICARE |
| P01109154 | Other | GA | RAILROAD MEDICARE |
| GA1328 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 067957 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Peoria, IL | Hospital |
| St Mary Medical Center | Galesburg, IL | Hospital |
| Perry Memorial Hospital | Princeton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Guy J Petruzzelli, MD, PHD 4700 Waters Ave, Savannah, GA 31404-6220 Ph: (912) 350-2299 | Guy J Petruzzelli, MD, PHD 4700 Waters Ave, Savannah, GA 31404 Ph: (912) 350-2299 |
Dr. Fred Lester Daniel, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 5201 Frederick Street, Savannah, GA 31405 Phone: 912-351-3030 Fax: 912-351-3039 | |
Manning M. Goldsmith Iii, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 5356 Reynolds St, Suite 505, Savannah, GA 31405 Phone: 912-644-5300 Fax: 912-644-5260 | |
Dr. Timothy John Minton, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 5356 Reynolds Street, Suite 505, Savannah, GA 31405 Phone: 912-644-0744 Fax: 912-644-0756 | |
Dr. Ian Keith Mcleod, MD FACS Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 322 Commercial Dr Ste 2, Savannah, GA 31406 Phone: 912-355-2335 Fax: 770-217-3339 | |
Dr. Diane Watkins Davis, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 5201 Frederick St, Savannah, GA 31405 Phone: 912-351-3030 Fax: 912-351-3039 | |
Dr. Tyler Keith Deblieux, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5356 Reynolds St Ste 505, Savannah, GA 31405 Phone: 912-356-1515 Fax: 912-644-0755 | |
Frederick Adair Kuhn, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 4750 Waters Ave, Ste 112, Savannah, GA 31404 Phone: 912-355-1070 Fax: 912-355-9773 |