Stacey C Basquin (NPI# 1760549919, PAC ID# 0345341251) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1760549919 |
| PAC ID by PECOS | 0345341251 |
| Professional Enrollment ID | I20070723000352 |
| Full Name | Stacey C Basquin |
| Organization Legal Name | EAST GEORGIA HMA PHYSICIAN MANAGEMENT LLC |
| Address |
1601 Fair Rd Suite 600 Statesboro GA 30458-0800 |
| Phone Number | 9126814911 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7214068592 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110075 | EAST GEORGIA REGIONAL MEDICAL CENTER |
| 111334 | CANDLER COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1497 Fair Rd, Statesboro, GA 30458-0823 | EAST GEORGIA HMA PHYSICIAN MANAGEMENT LLC | |
| 1601 Fair Rd, Suite 600, Statesboro, GA 30458-0800 | 9126814911 | EAST GEORGIA HMA PHYSICIAN MANAGEMENT LLC |
| Organization Legal Name | EAST GEORGIA HMA PHYSICIAN MANAGEMENT LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark P Crick | Internal Medicine | East Georgia Hma Physician Management LLC | 1497 Fair Rd, Suite 102, Statesboro, GA 30458-0823 |
| Akram Mahmoud Hassanyeh | General Surgery | East Georgia Hma Physician Management LLC | 1497 Fair Rd, Suite 102, Statesboro, GA 30458-0823 |
| Robert M Benson | Family Medicine | East Georgia Hma Physician Management LLC | 1497 Fair Rd, Suite 102, Statesboro, GA 30458-0823 |
| Tina L. Hathaway | Nurse Practitioner | East Georgia Hma Physician Management LLC | 1497 Fair Rd, Statesboro, GA 30458-0823 |
| Justin Lee Rountree | Anesthesiology | East Georgia Hma Physician Management LLC | 1497 Fair Rd, Statesboro, GA 30458-0823 |
| Karri O Ray | Physician Assistant | East Georgia Hma Physician Management LLC | 1497 Fair Rd, Statesboro, GA 30458-0823 |
| Jessica Bradshaw Reinhardt | Nurse Practitioner | East Georgia Hma Physician Management LLC | 1497 Fair Rd, Statesboro, GA 30458-0823 |
| Kathryn Hilovsky Janufka | Physician Assistant | East Georgia Hma Physician Management LLC | 400 Cedar St, Metter, GA 30439-3338 |
| Tiffany B Kreun | Nurse Practitioner | East Georgia Hma Physician Management LLC | 1497 Fair Rd, Suite 102, Statesboro, GA 30458-0823 |
| Jeanna Lynn Smith | Nurse Practitioner | East Georgia Hma Physician Management LLC | 1497 Fair Rd, Statesboro, GA 30458-0823 |
| Street Address |
1601 FAIR RD SUITE 600 |
| City | STATESBORO |
| State | GA |
| Zip | 30458-0800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica R Kenney | Allergy/immunology | Coastal Allergy and Asthma PC | 1601 Fair Rd, Suite 600, Stateboro, GA 31406 |
| Saraju C Dalsania | Internal Medicine | 1601 Fair Rd, Suite 700, Statesboro, GA 30458-0800 | |
| Michael A Taormina | Neurology | 1601 Fair Rd, Suite 400, Statesboro, GA 30458-1699 | |
| Bruce Daniel Finkel | Allergy/immunology | Coastal Allergy and Asthma PC | 1601 Fair Rd, Suite 600, Stateboro, GA 31406 |
| Harsh Bhushan | Hematology/oncology | 1601 Fair Rd, Suite 900, Statesboro, GA 30458-0800 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy O Kitching | Chiropractic | 2 Ed Moore Court, Statesboro, GA 30458 | |
| Samuel D Chapman | Nurse Practitioner | The Neurological Institute of Savannah and Center for Spine P C | 1213 Merchants Way, Unit A, Statesboro, GA 30458 |
| Karen C Penrose | Nurse Practitioner | Sidney P Smith Md PC | 6677 Ga Hwy 67, Statesboro, GA 30458 |
| Elizabeth Hinely | Nurse Practitioner | The Neurological Institute of Savannah and Center for Spine P C | 1213 Merchants Way, Unit A, Statesboro, GA 30458 |
| Andrea B Pitts | Nurse Practitioner | The Neurological Institute of Savannah and Center for Spine P C | 1213 Merchants Way, Unit A, Statesboro, GA 30458 |
| Anuj Goel | Psychiatry | Dps Health and Wellness | 204 S Main St, Statesboro, GA 30458-0723 |
| Deborah Stewart | Nurse Practitioner | Dps Health and Wellness | 204 S Main St, Statesboro, GA 30458-0723 |
| James L Routon | Anesthesiology | 1497 Fair Rd, Statesboro, GA 30458-0822 | |
| Mark P Crick | Internal Medicine | East Georgia Hma Physician Management LLC | 1497 Fair Rd, Suite 102, Statesboro, GA 30458-0823 |
| Akram Mahmoud Hassanyeh | General Surgery | East Georgia Hma Physician Management LLC | 1497 Fair Rd, Suite 102, Statesboro, GA 30458-0823 |
| Find all physicians in zip 30458 | |||
| City | STATESBORO |
| Zip Code | 30458 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | STATESBORO + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.