| Mr Omer E Kineish, MD | |
|
743 Spring St Ne, Gainesville, GA 30501-3715 | |
| (770) 219-9000 | |
| Not Available |
| Full Name | Mr Omer E Kineish |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 10 Years |
| Location | 743 Spring St Ne, Gainesville, 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 |
|---|---|---|---|
| 1730575663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | ME146481 (Florida) | Secondary |
| 208800000X | Urology | 102439 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
| Saint Francis Hospital, Inc | Tulsa, OK | Hospital |
| Brandon Regional Hospital | Brandon, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Warren Clinic Inc | 8820900293 | 693 |
| Northeast Georgia Physicians Group Inc | 6901898386 | 706 |
| Entity Name | Warren Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174582282 PECOS PAC ID: 8820900293 Enrollment ID: O20031104000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Omer E Kineish, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Mr Omer E Kineish, MD 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (770) 219-9000 |
Mr. William Bird Jones, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 660-a Lanier Park Drive, Gainesville, GA 30501 Phone: 770-535-0000 Fax: 770-532-3911 | |
Dr. Ryan Noelle Fogg, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy Se, Ste 200, Gainesville, GA 30501 Phone: 770-532-8438 Fax: 770-535-1785 | |
Dr. Quinton Victor Cancel, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8420 | |
Mr. Ronald Leroy Brock, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 660 Lanier Park Drive, Ste A, Gainesville, GA 30501 Phone: 770-535-0000 Fax: 770-532-3911 | |
Michael Grayson Simmons, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8430 | |
Mr. John Clay Mchugh, M.D. Urology Medicare: Medicare Enrolled Practice Location: 660-a Lanier Park Drive, Gainesville, GA 30501 Phone: 770-535-0000 Fax: 770-532-3911 | |
Dr. David S Woo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1240 Jesse Jewell Pkwy, Suite 200, Gainesville, GA 30501 Phone: 770-532-8438 Fax: 770-535-1785 |