| Herald Juka, MD | |
| 1120 15th St, Augusta, GA 30912-0004 | |
| (914) 689-1103 | |
| Not Available | 
| Full Name | Herald Juka | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 1120 15th St, Augusta, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770108045 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | 12019 (Georgia) | Primary | 
| Entity Name | Ad Of South Carolina Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205518792 PECOS PAC ID: 6901269224 Enrollment ID: O20230901002506 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Herald Juka, MD 323 Walden Glen Ln, Evans, GA 30809-3130 Ph: (914) 689-1103 | Herald Juka, MD 1120 15th St, Augusta, GA 30912-0004 Ph: (914) 689-1103 | 
| Rosa Maria Lopez Rincon,  Anesthesiology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-446-5836 | |
| Yulia Kungurova, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1120 15th St # Bi-2183, Augusta, GA 30912 Phone: 706-721-0180 | |
| Richard E. Lynch, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 804 Scott Nixon Memorial Dr, Attn: Provider Enrollment, Augusta, GA 30907 Phone: 800-394-4445 Fax: 706-955-0735 | |
| Dr. Edward Kurt Leahy,  Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 | |
| Dr. Marshall D. Bedder, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3813 | |
| Dr. John William Whiteley, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3873 Fax: 706-721-7763 | |
| Sami Mohammad Hafsa, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3871 |