| Ian C Munger, DO | |
|
1497 Fair Rd, Statesboro, GA 30458-0822 | |
| (912) 486-1111 | |
| Not Available |
| Full Name | Ian C Munger |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 17 Years |
| Location | 1497 Fair Rd, Statesboro, 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 |
|---|---|---|---|
| 1023247723 | NPI | - | NPPES |
| 0230169 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 070661 (Georgia) | Primary |
| 207Q00000X | Family Medicine | R-8762 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| East Georgia Regional Medical Center | Statesboro, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Statesboro Medical Group, Llc | 6507285095 | 7 |
| Entity Name | Georgia Emergency Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528098290 PECOS PAC ID: 1052216389 Enrollment ID: O20031201000427 |
| Entity Name | Montgomery Emergency Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861773764 PECOS PAC ID: 5395918387 Enrollment ID: O20111108000598 |
| Entity Name | Statesboro Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013535657 PECOS PAC ID: 6507285095 Enrollment ID: O20201002000508 |
| Entity Name | Vidalia Immediate & Primary Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942974167 PECOS PAC ID: 8820489941 Enrollment ID: O20211229000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian C Munger, DO 1176 Brampton Ave, Statesboro, GA 30458-0847 Ph: (912) 259-9474 | Ian C Munger, DO 1497 Fair Rd, Statesboro, GA 30458-0822 Ph: (912) 486-1111 |
Dr. James Daniel Weathers, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 213 Savannah Ave, Statesboro, GA 30458 Phone: 912-681-9292 Fax: 866-811-9195 | |
Scott T. Pottratz, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1499 Fair Rd, Statesboro, GA 30458 Phone: 912-486-1510 |