| Mary C Dement, MD | |
|
361 Furys Ferry Rd, Martinez, GA 30907-3047 | |
| (706) 869-2007 | |
| Not Available |
| Full Name | Mary C Dement |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 361 Furys Ferry Rd, Martinez, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851404354 | NPI | - | NPPES |
| 000697089C | Medicaid | GA | |
| 930047421 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 40493 (Georgia) | Primary |
| Entity Name | Acs Primary Care Physicians - Southeast Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
| Entity Name | Au Medical Associates Emergency Medicine Billing Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982089777 PECOS PAC ID: 3072823186 Enrollment ID: O20151102001458 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary C Dement, MD 361 Furys Ferry Rd, Martinez, GA 30907-3047 Ph: (706) 869-2007 | Mary C Dement, MD 361 Furys Ferry Rd, Martinez, GA 30907-3047 Ph: (706) 869-2007 |
George Clark Pursley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3736 Executive Center Dr, Martinez, GA 30907 Phone: 706-726-8727 Fax: 706-426-0384 | |
Dr. Ivy Lee Shuman Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3694 Bay Hill Ct, Martinez, GA 30907 Phone: 706-868-5232 Fax: 706-868-7809 |