Dr Alicia S Estillore-cruz, MD | |
603 Wheat Ave, Bainbridge, Bainbridge, GA 39819-4360 | |
(229) 246-1209 | |
(229) 243-7707 |
Full Name | Dr Alicia S Estillore-cruz |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 603 Wheat Ave, Bainbridge, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447205737 | NPI | - | NPPES |
000803393A | Medicaid | GA | |
000803393B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 045780 (Georgia) | Primary |
Entity Name | Emergency Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285686675 PECOS PAC ID: 7911811435 Enrollment ID: O20040407000673 |
Entity Name | Paragon Emergency Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
Entity Name | Hospital Physician Services Of Florida Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558718635 PECOS PAC ID: 7012201965 Enrollment ID: O20160816000476 |
Mailing Address | Practice Location Address |
---|---|
Dr Alicia S Estillore-cruz, MD 603 Wheat Ave, Bainbridge, Bainbridge, GA 39819-4360 Ph: (229) 246-1209 | Dr Alicia S Estillore-cruz, MD 603 Wheat Ave, Bainbridge, Bainbridge, GA 39819-4360 Ph: (229) 246-1209 |
Dr. Mandy Sampson Moye, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 603 Wheat Ave, Suite 450, Bainbridge, GA 39819 Phone: 229-246-1209 Fax: 229-243-7707 | |
Dr. Matthew Buck, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 603 Wheat Ave Ste 450, Bainbridge, GA 39819 Phone: 229-246-1209 | |
Dr. Winston Price, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 E Shotwell St, Bainbridge, GA 39819 Phone: 229-220-5674 | |
Mary Beth Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 603 Wheat Ave Ste 450, Bainbridge, GA 39819 Phone: 229-246-1209 Fax: 229-243-7707 |