Dr Stacey Ikebudu, MD | |
960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | |
(770) 382-1530 | |
Not Available |
Full Name | Dr Stacey Ikebudu |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 5 Years |
Location | 960 Joe Frank Harris Pkwy Se, Cartersville, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033772298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 41924 (Alabama) | Secondary |
207R00000X | Internal Medicine | 91580 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Floyd Medical Center | Rome, GA | Hospital |
Cartersville Medical Center | Cartersville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
24 On Physicians Pc | 5698688141 | 237 |
Allatoona Physician Services Pc | 7517342579 | 29 |
Entity Name | 24 On Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912956251 PECOS PAC ID: 5698688141 Enrollment ID: O20031216000444 |
Entity Name | Allatoona Physician Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497482350 PECOS PAC ID: 7517342579 Enrollment ID: O20220913000203 |
Mailing Address | Practice Location Address |
---|---|
Dr Stacey Ikebudu, MD 3690 Grandview Pkwy, Birmingham, AL 35243-3326 Ph: (205) 971-5745 | Dr Stacey Ikebudu, MD 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 Ph: (770) 382-1530 |
Sanya Elizabeth Gayle, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 770-382-1530 | |
Dr. Riaz Qadeer Gill, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-6460 Fax: 470-490-6433 | |
Dr. Srikanth Paladugu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 770-382-1530 | |
Dr. Christen Pirkle Subbiah, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Courtyard Dr Se Ste B, Cartersville, GA 30120 Phone: 404-640-0206 Fax: 770-386-7910 | |
Dr. Francisco Puentes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 40 Fox Chase, Cartersville, GA 30120 Phone: 678-400-2621 | |
Godly Obomate Jack, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 150 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-6670 Fax: 770-382-5762 |