Addis Daniel Windham, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Sautee, Georgia. His current practice location is
253 Garland Bristol Rd, Sautee, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 878-2664.
Addis Daniel Windham is licensed to practice in Georgia (license number 013810) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1184884793.
Physician's Profile
Full Name | Addis Daniel Windham |
---|
Gender | Male |
---|
Speciality | Radiology - Diagnostic Radiology |
---|
Location | 253 Garland Bristol Rd, Sautee, Georgia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184884793
- Provider Enumeration Date: 06/17/2008
- Last Update Date: 06/17/2008
Medicare PECOS Information:
- PECOS PAC ID: 2567494966
- Enrollment ID: I20160407001213
Medical Identifiers
Medical identifiers for Addis Daniel Windham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184884793 | NPI | - | NPPES |
300108014 | Other | | RAILROAD MEDICARE |
000073169D | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 013810 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Addis Daniel Windham is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Addis Daniel Windham, MD 253 Garland Bristol Road, Sautee, GA 30571-2703 Ph: (706) 878-2664 | Addis Daniel Windham, MD 253 Garland Bristol Rd, Sautee, GA 30571-2703 Ph: (706) 878-2664 |
Reviews and Comments