| W Kate Heberle, MD | |
| 2301 Parkwood Dr, Brunswick, GA 31520-4720 | |
| (912) 264-0014 | |
| Not Available | 
| Full Name | W Kate Heberle | 
|---|---|
| Gender | Female | 
| Speciality | Anesthesiology | 
| Location | 2301 Parkwood Dr, Brunswick, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053412031 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | MD21387 (Oregon) | Secondary | 
| 207L00000X | Anesthesiology | 69325 (Georgia) | Primary | 
| Entity Name | Alta Anesthesia Associates Of Georgia, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1275504771 PECOS PAC ID: 8729992987 Enrollment ID: O20031113000222 | 
| Mailing Address | Practice Location Address | 
|---|---|
| W Kate Heberle, MD 122 Rice Ml, St Simons Island, GA 31522-5415 Ph: (912) 222-8281 | W Kate Heberle, MD 2301 Parkwood Dr, Brunswick, GA 31520-4720 Ph: (912) 264-0014 | 
| Dr. Charles Hoover, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Kemble Ave, Brunswick, GA 31520 Phone: 912-466-7000 | |
| Dr. Thomas E. Runyan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3221 Glynn Ave, Brunswick, GA 31520 Phone: 912-466-9111 Fax: 912-466-0366 | |
| John R Rentz, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Kemble Ave., Brunswick, GA 31520 Phone: 880-233-2570 | |
| Dr. Renee Diskin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Kemble Ave, Brunswick, GA 31520 Phone: 912-466-7000 | |
| Dr. Kevin Don Coyle, MB BCH BAO LRCPSI Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3408 Trout St, Brunswick, GA 31520 Phone: 912-466-9111 | |
| Dr. Stephen J Squire, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3100 Kemble Ave, Brunswick, GA 31520 Phone: 912-466-7000 |