| Kenneth J Gargan, MD | |
|
3949 S Cobb Dr Se, Smyrna, GA 30080-6342 | |
| (770) 434-0710 | |
| Not Available |
| Full Name | Kenneth J Gargan |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 32 Years |
| Location | 3949 S Cobb Dr Se, Smyrna, 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 |
|---|---|---|---|
| 1154375079 | NPI | - | NPPES |
| 330297184 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 055363 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca Florida Gulf Coast Hospital | Panama city, FL | Hospital |
| Hca Florida St Lucie Hospital | Port saint lucie, FL | Hospital |
| Hca Florida Raulerson Hospital | Okeechobee, FL | Hospital |
| Touro Infirmary | New orleans, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mori Bean And Brooks Inc | 8820077878 | 966 |
| Entity Name | Mori Bean and Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Entity Name | Radiology Physician Solutions of West Florida LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104205046 PECOS PAC ID: 3577876218 Enrollment ID: O20150723008463 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J Gargan, MD Po Box 2994, Kennesaw, GA 30156-9181 Ph: (770) 779-2171 | Kenneth J Gargan, MD 3949 S Cobb Dr Se, Smyrna, GA 30080-6342 Ph: (770) 434-0710 |
Barbara B Waters, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 |
Amanda F Bauer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 |
Mr. John C Lipman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3670 Highlands Pkwy Se, Smyrna, GA 30082 Phone: 770-953-2600 Fax: 770-953-2602 |
Emeka S Oraka, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 |
Ashford Mcallister, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 |
Almass N Welji, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-434-0710 |
Dr. Sima Banerjee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3670 Highlands Pkwy Se, Smyrna, GA 30082 Phone: 770-953-2600 Fax: 770-953-2602 |