| Zebulon Heidt, DO | |
|
100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 | |
| (706) 858-2000 | |
| Not Available |
| Full Name | Zebulon Heidt |
|---|---|
| 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 |
|---|---|---|---|
| 1215463567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4093 (Tennessee) | Secondary |
| 207P00000X | Emergency Medicine | 5101023590 (Michigan) | Primary |
| Entity Name | Degara App Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265976971 PECOS PAC ID: 7618251398 Enrollment ID: O20170223001941 |
| Mailing Address | Practice Location Address |
|---|---|
| Zebulon Heidt, DO 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 Ph: (248) 338-5000 | Zebulon Heidt, DO 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 | |
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: Medicare Enrolled Practice Location: 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742 Phone: 706-858-2000 Fax: 865-291-3228 | |
Steven Perlaky, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742 Phone: 706-858-2000 Fax: 865-291-3228 |