Itoro Bassey Edet Daniels, MD | |
803 S Main St, Greensboro, GA 30642 | |
(706) 454-5114 | |
(706) 454-5199 |
Full Name | Itoro Bassey Edet Daniels |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 11 Years |
Location | 803 S Main St, Greensboro, 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 |
---|---|---|---|
1508202995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | R73852 (Arizona) | Secondary |
208000000X | Pediatrics | R73852 (Arizona) | Secondary |
207R00000X | Internal Medicine | 080742 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St. Mary's Good Samaritan Hospital | Greensboro, GA | Hospital |
Putnam General Hospital | Eatonton, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oconee Valley Healthcare Inc | 0446232268 | 14 |
Entity Name | Oconee Valley Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255433736 PECOS PAC ID: 0446232268 Enrollment ID: O20040604000755 |
Mailing Address | Practice Location Address |
---|---|
Itoro Bassey Edet Daniels, MD 803 S Main St, Greensboro, GA 30642-1211 Ph: () - | Itoro Bassey Edet Daniels, MD 803 S Main St, Greensboro, GA 30642 Ph: (706) 454-5114 |
Sonia Suda, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 803 S Main St, Greensboro, GA 30642 Phone: 706-453-1201 | |
Julian C Hutchins Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Commerce Dr Ste 108, Greensboro, GA 30642 Phone: 706-999-0243 Fax: 706-999-0245 | |
Juan Luis Pimentel Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Cowles Clinic Way Ste Cy-300, Greensboro, GA 30642 Phone: 706-410-2111 | |
Dr. Arun Kumar, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Cowles Clinic Way Ste Cy-300, Greensboro, GA 30642 Phone: 706-410-2111 | |
James T Tippett, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1210 Commerce Dr Ste 106, Greensboro, GA 30642 Phone: 706-999-0243 Fax: 706-999-0245 | |
Marilyn Digamon-beltran, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1041 Park Dr, Greensboro, GA 30642 Phone: 706-453-4945 Fax: 706-453-1441 |