| Steven Perlaky, MD | |
|
100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 | |
| (706) 858-2000 | |
| (865) 291-3228 |
| Full Name | Steven Perlaky |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 100 Gross Crescent Cir, Fort Oglethorpe, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932130416 | NPI | - | NPPES |
| 3148809 | Other | TN | BCBS OF TENNESSEE |
| 000706769C | Medicaid | GA | |
| P00231570 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 41639 (Georgia) | Primary |
| Entity Name | Chattanooga Emergency Medicine Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174739908 PECOS PAC ID: 0042304032 Enrollment ID: O20210322001796 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Perlaky, MD Po Box 636019, Cincinnati, OH 45263-6019 Ph: () - | Steven Perlaky, MD 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 Ph: (706) 858-2000 |
Gaston G Foderingham, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742 Phone: 706-858-2000 Fax: 865-291-3228 | |
Zebulon Heidt, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742 Phone: 706-858-2000 | |
Rodolfo Mario Cardenas, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742 Phone: 706-858-2000 Fax: 865-291-3228 | |
Kenneth Thomas Gossett, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742 Phone: 706-858-2000 | |
Sandra Jean Carmichael, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742 Phone: 706-858-2000 Fax: 865-291-3228 |