| Marco A Ayulo Sr, MD | |
|
207 Fairview Park Dr, Dublin, GA 31021-2550 | |
| (478) 275-1111 | |
| (478) 488-3477 |
| Full Name | Marco A Ayulo Sr |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 52 Years |
| Location | 207 Fairview Park Dr, Dublin, 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 |
|---|---|---|---|
| 1316938848 | NPI | - | NPPES |
| 00516612F | Medicaid | GA | |
| 00516612A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 036088 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Park Hospital | Dublin, GA | Hospital |
| Entity Name | Tift Regional Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
| Entity Name | Mayo Clinic Health System In Waycross, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154745982 PECOS PAC ID: 0042124919 Enrollment ID: O20040308000639 |
| Entity Name | Dublin Hematology Oncology Care, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467547521 PECOS PAC ID: 9537143250 Enrollment ID: O20040617001465 |
| Mailing Address | Practice Location Address |
|---|---|
| Marco A Ayulo Sr, MD 501 Riverside Dr, Waycross, GA 31501-5316 Ph: (912) 283-6152 | Marco A Ayulo Sr, MD 207 Fairview Park Dr, Dublin, GA 31021-2550 Ph: (478) 275-1111 |
Dr. Raman S.p Damineni, M.D Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 Fax: 478-274-5508 | |
Pride R Chapman, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 104 Fairview Park Dr, Dublin, GA 31021 Phone: 478-272-1366 Fax: 478-277-1922 | |
Tirso A Castillo, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 111 Fairview Park Dr, Dublin, GA 31021 Phone: 478-272-1366 Fax: 478-275-2322 | |
Andre Christopher Lewis, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 200 Industrial Blvd., Hospitalists At Fairview Park Llc, Dublin, GA 31021 Phone: 478-274-3925 Fax: 478-274-3663 | |
Matthew B Grundfast, D.O. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 111 Fairview Park Dr, Dublin, GA 31021 Phone: 478-277-1929 Fax: 478-304-1468 | |
Dr. Meenakshi Mohan Ram, M.D., Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 | |
Natalie Rodziewicz Guinn, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2400 Bellevue Rd Ste 29b, Dublin, GA 31021 Phone: 478-272-9688 |