Dr Jacqueline Akua Owusu, MD | |
2022 10th Ave Ste B, Columbus, GA 31901-3720 | |
(706) 507-9407 | |
(706) 507-9408 |
Full Name | Dr Jacqueline Akua Owusu |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 2022 10th Ave Ste B, Columbus, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023182748 | NPI | - | NPPES |
280803795J | Medicaid | GA | |
GRP4787 | Other | GA | MEDICARE PTAN HOSPITALIST OF DUBLIN |
055870 | Other | GA | GA STATE LICENSE |
05390548 | Other | GA | AMERIGROUP |
11674408 | Other | GA | CAQH |
280803795A | Medicaid | GA | |
1539774 | Other | GA | WELLCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 055870 (Georgia) | Secondary |
208M00000X | Hospitalist | 055870 (Georgia) | Secondary |
207R00000X | Internal Medicine | 055870 (Georgia) | Primary |
Entity Name | Apogee Medical Group Georgia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629025143 PECOS PAC ID: 4587676945 Enrollment ID: O20060629000214 |
Mailing Address | Practice Location Address |
---|---|
Dr Jacqueline Akua Owusu, MD 5035 Hawks Ridge Dr, Columbus, GA 31904-2043 Ph: (917) 319-5411 | Dr Jacqueline Akua Owusu, MD 2022 10th Ave Ste B, Columbus, GA 31901-3720 Ph: (706) 507-9407 |
Andrew Norbert Vernon, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 706-320-2773 Fax: 706-596-4226 | |
Dr. Christopher Morgan Lee, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Center St, Suite 204, Columbus, GA 31901 Phone: 706-596-1314 Fax: 706-596-9225 | |
Dr. James Lacey Smith, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1207 Marina Cove Dr, Columbus, GA 31904 Phone: 901-412-1881 | |
Srividya Srinivasamaharaj, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1831 5th Ave, Columbus, GA 31904 Phone: 706-320-8780 Fax: 706-320-8721 | |
Dr. Mylena E Morton, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1262 Fax: 706-660-6512 | |
Da Monica Alethea Cannon, NP Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2737 Warm Springs Rd Ste C, Columbus, GA 31904 Phone: 706-571-1136 | |
Dr. Gregory Michael Rucker, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Center St, Suite 204, Columbus, GA 31901 Phone: 706-596-1314 Fax: 706-596-9225 |