Dr Charles Douglas Bodine Jr, MD | |
3320 Old Jefferson Rd Bldg 700, Athens, GA 30607-1465 | |
(706) 353-2990 | |
(706) 353-2992 |
Full Name | Dr Charles Douglas Bodine Jr |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 10 Years |
Location | 3320 Old Jefferson Rd Bldg 700, Athens, Georgia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740669928 | NPI | - | NPPES |
003251625A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 88983 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Cancer And Blood Center, Llc | 0345293866 | 50 |
Entity Name | University Cancer & Blood Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346343761 PECOS PAC ID: 0345293866 Enrollment ID: O20050224000694 |
Mailing Address | Practice Location Address |
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Dr Charles Douglas Bodine Jr, MD 3320 Old Jefferson Rd Bldg 800, Athens, GA 30607-1400 Ph: (706) 353-2990 | Dr Charles Douglas Bodine Jr, MD 3320 Old Jefferson Rd Bldg 700, Athens, GA 30607-1465 Ph: (706) 353-2990 |
Bannur Ramanna Nandeesh, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-5076 | |
Krupal Jay Hari, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 242 King Avenue, Suite 210, Athens, GA 30606 Phone: 706-475-1700 Fax: 706-475-1790 | |
Mr. Ashwin Thatti, Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1500 Oglethorpe Ave Ste 500c, Athens, GA 30606 Phone: 706-546-7484 | |
Dr. Stephen William Wilde, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 700 Sunset Dr, Suite 501, Athens, GA 30606 Phone: 706-208-0065 Fax: 706-459-8693 | |
Dr. James S Miller, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-1700 Fax: 706-546-1787 | |
Dr. Paul Peteet, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 55 Carlton St, Athens, GA 30602 Phone: 706-542-8621 Fax: 706-583-0217 | |
Diana T Blake, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2470 Daniells Bridge Rd Ste 231, Athens, GA 30606 Phone: 706-769-3362 Fax: 706-769-5675 |