Dr Matthew Daniel Powellson, MD | |
1310 Brampton Ave, Statesboro, GA 30458-0851 | |
(912) 486-1873 | |
(912) 486-2394 |
Full Name | Dr Matthew Daniel Powellson |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 17 Years |
Location | 1310 Brampton Ave, Statesboro, 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 |
---|---|---|---|
1336345487 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 066402 (Georgia) | Secondary |
207R00000X | Internal Medicine | 066402 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hermann Hospital System | Houston, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Woodlands Family Practice Pa | 6002851821 | 3 |
Entity Name | Woodlands Family Practice Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033230602 PECOS PAC ID: 6002851821 Enrollment ID: O20050831000662 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew Daniel Powellson, MD 1449 Brampton Ave, Statesboro, GA 30458-0854 Ph: (912) 871-2900 | Dr Matthew Daniel Powellson, MD 1310 Brampton Ave, Statesboro, GA 30458-0851 Ph: (912) 486-1873 |
Dr. Mark P Crick, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1449 Brampton Ave, Statesboro, GA 30458 Phone: 912-871-2900 Fax: 912-871-2903 | |
Anthony B. Chappell, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1076 Bermuda Run Road, Statesboro, GA 30458 Phone: 912-871-7810 Fax: 912-871-7820 | |
Dr. Ajay Jain, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1497 Fair Rd, Suite 305, Statesboro, GA 30458 Phone: 912-681-2273 | |
Wayne Bryan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1499 Fair Rd Fl 3, Statesboro, GA 30458 Phone: 912-486-1431 | |
Mr. Courage A Atekha, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1030 Bermuda Run, Statesboro, GA 30458 Phone: 912-764-8396 Fax: 912-764-7188 | |
Dr. Patrick Dorvilus, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1497 Fair Rd Ste 104, Statesboro, GA 30458 Phone: 912-486-1600 Fax: 912-871-3342 | |
Basil Sohail Bangash, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1601 Fair Rd Ste 600, Statesboro, GA 30458 Phone: 912-681-4911 Fax: 912-681-6911 |