| Caleb Mingo, CAA | |
|
1900 Tebeau St, Waycross, GA 31501-6357 | |
| (912) 283-3030 | |
| Not Available |
| Full Name | Caleb Mingo |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 2 Years |
| Location | 1900 Tebeau St, Waycross, 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 |
|---|---|---|---|
| 1699540112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 11891 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System In Waycross | Waycross, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ams Southeast Llc | 3870880792 | 69 |
| Entity Name | Ams Southeast Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487107157 PECOS PAC ID: 3870880792 Enrollment ID: O20160921000551 |
| Mailing Address | Practice Location Address |
|---|---|
| Caleb Mingo, CAA 110 Allen Ln, Nahunta, GA 31553-2060 Ph: (912) 285-4983 | Caleb Mingo, CAA 1900 Tebeau St, Waycross, GA 31501-6357 Ph: (912) 283-3030 |
David James Drolte, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 410 Darling Ave, Dept Of Anesthesia, Waycross, GA 31501 Phone: 912-338-6511 Fax: 912-338-6512 | |
Oladotun Akintomide, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 410 Darling Ave, Dept Of Anesthesia, Waycross, GA 31501 Phone: 912-338-6511 Fax: 912-338-6512 | |
Robert Earl Shonk, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 410 Darling Ave, Anesthesia Dept, Waycross, GA 31501 Phone: 912-338-6511 Fax: 912-338-6512 |