| Johnny M Belenchia, MD | |
|
2705 E Pinetree Blvd Ste C, Thomasville, GA 31792-4875 | |
| (229) 584-5731 | |
| (229) 228-2492 |
| Full Name | Johnny M Belenchia |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 2705 E Pinetree Blvd Ste C, Thomasville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205850435 | NPI | - | NPPES |
| 1559353 | Other | MS | AMERICAN ADMIN GROUP |
| 290013888 | Other | RAILROAD MEDICARE | |
| 003142520A | Medicaid | GA | |
| 00124286 | Medicaid | MS | |
| 1419672 | Medicaid | LA | |
| 003142520B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 11332 (Mississippi) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 071207 (Georgia) | Primary |
| Entity Name | John D. Archbold Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194779702 PECOS PAC ID: 4981502622 Enrollment ID: O20031219000506 |
| Entity Name | Archbold Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831353036 PECOS PAC ID: 8123196383 Enrollment ID: O20081001000632 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnny M Belenchia, MD 900 Cairo Rd, Thomasville, GA 31792-4255 Ph: () - | Johnny M Belenchia, MD 2705 E Pinetree Blvd Ste C, Thomasville, GA 31792-4875 Ph: (229) 584-5731 |
Dr. Prashant Baliga, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-8575 | |
Keerthi Kiran Ponugoti, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2705 E Pinetree Blvd Ste C, Thomasville, GA 31792 Phone: 229-584-5731 Fax: 229-584-5941 | |
Jasmine Mutti, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 100 Mimosa Dr Ste 1l, Thomasville, GA 31792 Phone: 229-228-2410 | |
William W Ellis, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-551-0083 Fax: 229-227-9642 | |
Dr. James Monroe Hunt, DO Pulmonary Disease Medicare: May Accept Medicare Assignments Practice Location: 235 W Jackson St, Thomasville, GA 31792 Phone: 229-236-5455 | |
Dr. Raul Gabriel Santos, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 334 Smith Ave, Thomasville, GA 31792 Phone: 229-227-1595 Fax: 229-227-1385 | |
Dr. Asif Rashid Shah, MBBS Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-8575 |