Dr Bonzo K Reddick, MD | |
1107 E 66th St, Savannah, GA 31404 | |
(912) 350-8404 | |
(912) 350-8067 |
Full Name | Dr Bonzo K Reddick |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1107 E 66th St, Savannah, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568575041 | NPI | - | NPPES |
003147505A | Medicaid | GA | |
P01337521 | Other | GA | RAILROAD MEDICARE |
GA1657 | Medicaid | SC | |
5901642 | Medicaid | NC | |
2043636 | Other | NC | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 200401669 (North Carolina) | Secondary |
207Q00000X | Family Medicine | 072097 (Georgia) | Primary |
Entity Name | Mppg Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033131172 PECOS PAC ID: 7012829351 Enrollment ID: O20040223000338 |
Entity Name | Liberty County Board Of Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245546704 PECOS PAC ID: 6204724420 Enrollment ID: O20040309000899 |
Entity Name | Glynn County Board Of Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164429692 PECOS PAC ID: 4385532456 Enrollment ID: O20040309001226 |
Entity Name | Chatham County Board Of Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164503124 PECOS PAC ID: 1658367727 Enrollment ID: O20040423000125 |
Entity Name | J.c. Lewis Primary Healthcare Center, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922301472 PECOS PAC ID: 8426203225 Enrollment ID: O20130824000076 |
Mailing Address | Practice Location Address |
---|---|
Dr Bonzo K Reddick, MD 1107 E 66th St, Savannah, GA 31404-5701 Ph: (912) 350-8404 | Dr Bonzo K Reddick, MD 1107 E 66th St, Savannah, GA 31404 Ph: (912) 350-8404 |
Thomas Danello, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 361 Commercial Dr, Savannah, GA 31406 Phone: 912-355-6221 Fax: 912-355-6914 | |
Cindy Ann Gleit, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1107 E 66th St, Savannah, GA 31404 Phone: 912-350-8404 Fax: 912-350-8067 | |
Megan Boyd, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 5356 Reynolds St Ste 201, Savannah, GA 31405 Phone: 912-819-8187 | |
Mrs. Erica Blaikie Young, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 51 Johnny Mercer Blvd. Cottage A-1, Savannah, GA 31410 Phone: 912-999-8617 Fax: 912-216-3946 | |
Dr. Peter Christian Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1326 Eisenhower Dr, Building 1, Savannah, GA 31406 Phone: 912-691-4100 | |
Shaun Iletha Franklin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 W Montgomery Xrd, Savannah, GA 31406 Phone: 912-920-0214 Fax: 912-921-2004 | |
Dr. Theodore Geffen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1326 Eisenhower Dr, Savannah, GA 31406 Phone: 912-691-4100 Fax: 912-691-4289 |