Homer Elmer Breckenridge Iii, MD | |
804 N Wiley Ave, Donalsonville, GA 39845-1120 | |
(229) 524-2808 | |
(229) 524-1272 |
Full Name | Homer Elmer Breckenridge Iii |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 47 Years |
Location | 804 N Wiley Ave, Donalsonville, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649371790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 019644 (Georgia) | Secondary |
208600000X | Surgery | 019644 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home | Bainbridge, GA | Home health agency |
Integrity Hospice | Eastman, GA | Hospice |
Donalsonville Hospital Inc | Donalsonville, GA | Hospital |
Memorial Hospital And Manor | Bainbridge, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Wiregrass Medical And Surgical Group Inc | 8123123387 | 2 |
Southwest Georgia Healthcare Clinics, Inc | 9739457896 | 5 |
Entity Name | The Wiregrass Medical & Surgical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083753404 PECOS PAC ID: 8123123387 Enrollment ID: O20070417000179 |
Entity Name | Southwest Georgia Healthcare Clinics, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881867000 PECOS PAC ID: 9739457896 Enrollment ID: O20170613002024 |
Mailing Address | Practice Location Address |
---|---|
Homer Elmer Breckenridge Iii, MD 804 N Wiley Ave, Donalsonville, GA 39845-1120 Ph: (229) 524-2808 | Homer Elmer Breckenridge Iii, MD 804 N Wiley Ave, Donalsonville, GA 39845-1120 Ph: (229) 524-2808 |
Joseph Lynn Walker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 804 N Wiley Ave, Wiregrass Medical And Surgical Group, Donalsonville, GA 39845 Phone: 229-524-2706 | |
Dr. Charles Osborne Walker Jr., MD Surgery Medicare: Medicare Enrolled Practice Location: 804 N Wiley Ave, Donalsonville, GA 39845 Phone: 229-524-2706 Fax: 229-524-2738 | |
Dr. Jacob Harvey Holley Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 214 Cherry St, Donalsonville, GA 39845 Phone: 229-524-2232 Fax: 229-524-8766 |