| Matthew B Grundfast, DO | |
|
111 Fairview Park Dr, Dublin, GA 31021-2501 | |
| (478) 277-1929 | |
| (478) 304-1468 |
| Full Name | Matthew B Grundfast |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 28 Years |
| Location | 111 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 |
|---|---|---|---|
| 1124011085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 052944 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Archbold Medical Group, Inc. | 8123196383 | 68 |
| 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 | Archbold Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831353036 PECOS PAC ID: 8123196383 Enrollment ID: O20081001000632 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew B Grundfast, DO 130 E Westerlee Dr, Leesburg, GA 31763-5817 Ph: (229) 886-5150 | Matthew B Grundfast, DO 111 Fairview Park Dr, Dublin, GA 31021-2501 Ph: (478) 277-1929 |
Dr. Raman S.p Damineni, M.D Gastroenterology Medicare: Medicare Enrolled Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 Fax: 478-274-5508 | |
Pride R Chapman, MD Gastroenterology 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 Gastroenterology 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 Gastroenterology 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 | |
Dr. Meenakshi Mohan Ram, M.D., Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1826 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-1210 | |
Natalie Rodziewicz Guinn, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2400 Bellevue Rd Ste 29b, Dublin, GA 31021 Phone: 478-272-9688 |