Dr Charles M Mendenhall, MD | |
425 3rd Ave, Ste 50, Albany, GA 31701-1955 | |
(229) 883-0717 | |
(229) 312-2257 |
Full Name | Dr Charles M Mendenhall |
---|---|
Gender | Male |
Speciality | Radiology - Radiation Oncology |
Location | 425 3rd Ave, Albany, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639152085 | NPI | - | NPPES |
GRP754 | Other | MEDICARE GROUP | |
122061 | Other | PEACH STATE | |
341228 | Other | WELLCARE | |
00266252A | Medicaid | GA | |
320000060 | Other | RAILROAD MEDICARE | |
CL3407 | Other | RAILROAD MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 24842 (Georgia) | Primary |
Entity Name | Phoebe Putney Memorial Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992789721 PECOS PAC ID: 4486559549 Enrollment ID: O20031203000397 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles M Mendenhall, MD 425 3rd Ave, Ste 50, Albany, GA 31701-1955 Ph: (229) 883-0717 | Dr Charles M Mendenhall, MD 425 3rd Ave, Ste 50, Albany, GA 31701-1955 Ph: (229) 883-0717 |
Dr. Allison Lea Hays, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 706-653-1088 Fax: 706-653-1162 | |
Suresh K Lakhanpal, MD Radiology Medicare: Medicare Enrolled Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 706-653-1088 Fax: 706-653-1162 | |
Edwin J Fortenbery, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 706-653-1088 Fax: 706-653-1162 | |
Frank Maynard Thames Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2219 Golf Course Dr, Albany, GA 31721 Phone: 229-435-2964 | |
William Joel Mcafee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 425 W 3rd Ave Ste 50, Albany, GA 31701 Phone: 229-883-0717 | |
Karen E Lovett, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 706-653-1088 Fax: 706-653-1162 | |
Michael A Aquadro, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Palmyra Rd, Palmyra Medical Center, Albany, GA 31701 Phone: 229-434-2000 |