Dr Aymen Yousuf Bukannan, MD | |
112 Mimosa Dr, Thomasville, GA 31792-6605 | |
(229) 227-0045 | |
Not Available |
Full Name | Dr Aymen Yousuf Bukannan |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 15 Years |
Location | 112 Mimosa Dr, Thomasville, 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 |
---|---|---|---|
1700179983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4301098214 (Michigan) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 077096 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trinity Regional Medical Center | Fort dodge, IA | Hospital |
Piedmont Columbus Regional Midtown | Columbus, GA | Hospital |
Piedmont Columbus Regional Northside | Columbus, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Columbus Ambulatory Healthcare Services, Inc. | 1355244385 | 98 |
Trinity Regional Medical Center | 7315858529 | 123 |
Entity Name | Columbus Ambulatory Healthcare Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790733244 PECOS PAC ID: 1355244385 Enrollment ID: O20040128000790 |
Entity Name | Archbold Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831353036 PECOS PAC ID: 8123196383 Enrollment ID: O20081001000632 |
Mailing Address | Practice Location Address |
---|---|
Dr Aymen Yousuf Bukannan, MD 900 Cairo Rd, Thomasville, GA 31792-4255 Ph: () - | Dr Aymen Yousuf Bukannan, MD 112 Mimosa Dr, Thomasville, GA 31792-6605 Ph: (229) 227-0045 |
Dr. Prashant Baliga, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-8575 | |
Keerthi Kiran Ponugoti, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2705 E Pinetree Blvd Ste C, Thomasville, GA 31792 Phone: 229-584-5731 Fax: 229-584-5941 | |
William W Ellis, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-551-0083 Fax: 229-227-9642 | |
Dr. Raul Gabriel Santos, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 334 Smith Ave, Thomasville, GA 31792 Phone: 229-227-1595 Fax: 229-227-1385 | |
Dr. Asif Rashid Shah, MBBS Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 915 Gordon Ave, Thomasville, GA 31792 Phone: 229-228-8575 | |
Dr. Luis Alfredo Wulff, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 119 W Hill St, Thomasville, GA 31792 Phone: 229-225-1900 | |
Robert D Miles Jr., M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 116 Mimosa Dr, Thomasville, GA 31792 Phone: 229-551-0083 Fax: 229-227-9642 |