Dr Jose M Theckedath, MD | |
1911 Palmyra Rd, Albany, GA 31701-1574 | |
(229) 446-7227 | |
(229) 420-4365 |
Full Name | Dr Jose M Theckedath |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 50 Years |
Location | 1911 Palmyra Rd, Albany, 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 |
---|---|---|---|
1982798047 | NPI | - | NPPES |
000840386A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | GA45992 (Georgia) | Primary |
Entity Name | Allergy & Immunology Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770863276 PECOS PAC ID: 8527238583 Enrollment ID: O20110830000393 |
Mailing Address | Practice Location Address |
---|---|
Dr Jose M Theckedath, MD 1911 Palmyra Rd, Albany, GA 31701-1574 Ph: (229) 446-7227 | Dr Jose M Theckedath, MD 1911 Palmyra Rd, Albany, GA 31701-1574 Ph: (229) 446-7227 |
Dennis Allen Robinson, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 105 Spanish Ct, Albany, GA 31707 Phone: 229-438-7100 Fax: 229-438-9382 | |
Michael Anthony Fowler, PAC MPAS Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 105 Spanish Court, Albany, GA 31707 Phone: 229-438-7100 Fax: 229-438-9382 | |
Tracy Alan Bridges, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 105 Spanish Crt, Albany, GA 31707 Phone: 229-438-7100 Fax: 229-438-9382 | |
Dr. Erin Mcbride Cannington, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 105 Spanish Ct, Albany, GA 31707 Phone: 229-438-7100 |