Dr Indrani Bongu, MD | |
2806 Hillcreek Dr, Augusta, GA 30909-6484 | |
(706) 863-0200 | |
(706) 863-4695 |
Full Name | Dr Indrani Bongu |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 2806 Hillcreek Dr, Augusta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861580193 | NPI | - | NPPES |
00888841B | Medicaid | GA | |
52820654 | Other | GA | BCBS GA PROVIDER NUMBER |
G49418 | Other | SC | SC MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 049418 (Georgia) | Primary |
Entity Name | Unified Women's Care Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578812012 PECOS PAC ID: 0244482297 Enrollment ID: O20121220000355 |
Mailing Address | Practice Location Address |
---|---|
Dr Indrani Bongu, MD 2806 Hillcreek Dr, Augusta, GA 30909-6484 Ph: (706) 863-0200 | Dr Indrani Bongu, MD 2806 Hillcreek Dr, Augusta, GA 30909-6484 Ph: (706) 863-0200 |
Dr. John Henry Oliver, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2300 Wrightsboro Rd, Augusta, GA 30904 Phone: 706-737-3948 Fax: 706-737-4035 | |
Dr. Larisa P Gavrilova-jordan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-724-6100 | |
Dr. C Katherine Chance, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1348 Walton Way, Ste 4100, Augusta, GA 30901 Phone: 706-722-1381 Fax: 706-823-6871 | |
Mr. Ravinder Jerath, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2100 Central Ave, Suite 7, Augusta, GA 30904 Phone: 706-736-5378 Fax: 706-738-9922 | |
Dr. Evan C Bahr, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 2300 Wrightsboro Rd, Augusta, GA 30904 Phone: 706-737-3948 Fax: 706-737-4035 | |
Dr. Christopher Homeyer, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 205 Simmons Pl, Augusta, GA 30907 Phone: 706-787-7228 Fax: 706-787-0385 | |
Benjamin Muller, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3624 J Dewey Gray Cir Ste 301, Augusta, GA 30909 Phone: 843-209-2779 |