| Russell G. O'neal, M.d., L.l.c. | |
|
1760 Bass Rd Ste 200a Macon GA 31210-1061 | |
| (478) 309-1212 | |
| (866) 493-2791 |
| Full Name | Russell G. O'neal, M.d., L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1760 Bass Rd Ste 200a, Macon, Georgia |
| Authorized Official Name and Position | Megan L Stuart (MANAGER) |
| Authorized Official Contact | 4783091212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell G. O'neal, M.d., L.l.c. 1760 Bass Rd Ste 200a Macon GA 31210-1061 Ph: (478) 309-1212 | Russell G. O'neal, M.d., L.l.c. 1760 Bass Rd Ste 200a Macon GA 31210-1061 Ph: (478) 309-1212 |
| NPI Number | 1689008658 |
|---|---|
| Provider Enumeration Date | 08/27/2013 |
| Last Update Date | 04/18/2024 |
| Medicare PECOS PAC ID | 3678512399 |
|---|---|
| Medicare Enrollment ID | O20131230000668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689008658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 054410 (Georgia) | Primary |
| Provider Name | Russell G Oneal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952415853 PECOS PAC ID: 1759320567 Enrollment ID: I20050502000421 |
| Provider Name | Brett Allen Forehand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427430180 PECOS PAC ID: 3870896848 Enrollment ID: I20160126000132 |
| Provider Name | Amanda Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902443039 PECOS PAC ID: 0143657783 Enrollment ID: I20200220002704 |
| Provider Name | Morgan M Ennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932843158 PECOS PAC ID: 4082095989 Enrollment ID: I20231208001882 |
Harvey Jones Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1385 Pio Nono Ave, Macon, GA 31204 Phone: 478-743-1883 | |
First Choice Primary Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 171 Emery Hwy, Macon, GA 31217 Phone: 478-787-4266 | |
Internal Medicine Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr, Bldg C, Ste 200, Macon, GA 31217 Phone: 478-745-1191 Fax: 478-750-4669 | |
Grace Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Charter Blvd, Suite 304, Macon, GA 31210 Phone: 478-405-0280 | |
Atlantic Hospitalist Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 1st St, Macon, GA 31201 Phone: 478-744-9603 Fax: 478-744-9552 | |
Family Care Of Middle Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3203 Vineville Ave, Macon, GA 31204 Phone: 478-471-0273 Fax: 478-471-1471 | |
Abc Anesthesia Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2176 Ingleside Ave, Macon, GA 31204 Phone: 404-408-3100 |