Dr Eduardo M Cossio, MD | |
1075 S Main St, Ste 300, Madison, GA 30650-2074 | |
(706) 342-0449 | |
(706) 342-8332 |
Full Name | Dr Eduardo M Cossio |
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Gender | Male |
Speciality | Internal Medicine |
Location | 1075 S Main St, Madison, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376711747 | NPI | - | NPPES |
000406898A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 032162 (Georgia) | Primary |
Entity Name | Prince Avenue Primary Care, L.l.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386676211 PECOS PAC ID: 4688668346 Enrollment ID: O20040414000612 |
Mailing Address | Practice Location Address |
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Dr Eduardo M Cossio, MD Po Box 879, Madison, GA 30650-0879 Ph: (706) 342-0449 | Dr Eduardo M Cossio, MD 1075 S Main St, Ste 300, Madison, GA 30650-2074 Ph: (706) 342-0449 |
Dr. David Neal Socoloff, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1680a Eatonton Rd, Madison, GA 30650 Phone: 404-282-5600 Fax: 404-282-5599 | |
Mrs. Nancy Chinelo Echefu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1077 S Main St, Madison, GA 30650 Phone: 706-342-1667 | |
Miguel Eduardo Cossio, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1075 S Main St, Suite 400, Madison, GA 30650 Phone: 706-342-9664 | |
Dr. Rose Ann Weaver, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 172 North Main St, Madison, GA 30650 Phone: 706-342-4106 Fax: 706-343-0046 |