| Roni J Bollag, MD, PHD | |
|
1120 15th St, Augusta, GA 30912-0004 | |
| (706) 721-0746 | |
| Not Available |
| Full Name | Roni J Bollag |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 21 Years |
| Location | 1120 15th St, Augusta, 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 |
|---|---|---|---|
| 1144342056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 000963 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Au Medical Center | Augusta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Au Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Roni J Bollag, MD, PHD 1499 Walton Way, Ste 1400, Augusta, GA 30901-2602 Ph: (706) 828-8401 | Roni J Bollag, MD, PHD 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-0746 |
Brandol Wolfenbarger, Pathology Medicare: Medicare Enrolled Practice Location: 1459 Laney Walker Blvd, Augusta, GA 30912 Phone: 706-721-7005 | |
Dr. Mary Taneous, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1350 Walton Way, Augusta, GA 30901 Phone: 706-774-5400 Fax: 706-774-5096 | |
Dr. Kailash B Sharma, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1350 Walton Way, Augusta, GA 30901 Phone: 706-774-5400 Fax: 706-774-5096 | |
Amanda Carina Barrett, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th Street, Augusta, GA 30912 Phone: 706-721-8623 Fax: 706-721-1459 | |
Patricia A Caudell, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1462 Laney Walker Blvd, Ca-2105, Augusta, GA 30912 Phone: 706-721-9341 | |
Lakshmikantam Vemavarapu, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 Fax: 706-721-1459 | |
Okechukwu Valentine Nwogbo, M.B.B.S, MD. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-5118 |