Homer Allen Richardson, MD | |
2701 North Decatur Road, Decatur, GA 30033 | |
(404) 501-1849 | |
Not Available |
Full Name | Homer Allen Richardson |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 2701 North Decatur Road, Decatur, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740230721 | NPI | - | NPPES |
7100224220 | Medicaid | KY | |
000000799022 | Other | BCBS-BAPTIST | |
P01209417 | Other | KY | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 49993 (Georgia) | Primary |
Entity Name | Phoebe Putney Memorial Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992789721 PECOS PAC ID: 4486559549 Enrollment ID: O20031203000397 |
Entity Name | Georgia Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952746638 PECOS PAC ID: 4082853262 Enrollment ID: O20130619000316 |
Mailing Address | Practice Location Address |
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Homer Allen Richardson, MD 2100 Powell Street, Emeryville, CA 94608-1803 Ph: (510) 350-2777 | Homer Allen Richardson, MD 2701 North Decatur Road, Decatur, GA 30033 Ph: (404) 501-1849 |
Nicholas Ross Gozza, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000 | |
Dr. Richard Edward Wild, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1275 Oak Grove Dr, Decatur, GA 30033 Phone: 404-315-6110 Fax: 404-315-6074 | |
Dr. Richard Yao Chang Kwong, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Department Of Emergency Medicine, Decatur, GA 30033 Phone: 404-501-1000 Fax: 404-501-1765 | |
Dr. Andrew D Jones, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Attn: Stephanie Rowe, Decatur, GA 30033 Phone: 404-501-2650 Fax: 404-501-1765 | |
Tiencia Dorothea James, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1849 | |
Adam Marchak, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-5374 | |
Joy Felicia Slade, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2701 North Decatur Road, Decatur, GA 30033 Phone: 404-501-1849 |