Misty Denise Poole, MD | |
210 Mose Coleman Dr, Vidalia, GA 30474-8677 | |
(912) 537-2200 | |
(912) 537-2260 |
Full Name | Misty Denise Poole |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 16 Years |
Location | 210 Mose Coleman Dr, Vidalia, 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 |
---|---|---|---|
1134358419 | NPI | - | NPPES |
PENDING | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 66797 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health | Vidalia, GA | Home health agency |
Meadows Regional Medical Center | Vidalia, GA | Hospital |
Fairview Park Hospital | Dublin, GA | Hospital |
Jeff Davis Hospital | Hazlehurst, GA | Hospital |
Entity Name | Misty D. Poole, Md Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003176546 PECOS PAC ID: 4183871437 Enrollment ID: O20120822000183 |
Mailing Address | Practice Location Address |
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Misty Denise Poole, MD 210 Mose Coleman Dr, Vidalia, GA 30474-8677 Ph: (912) 537-2200 | Misty Denise Poole, MD 210 Mose Coleman Dr, Vidalia, GA 30474-8677 Ph: (912) 537-2200 |
Brick Acosta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555 Fax: 912-535-5830 | |
Dr. Charles A Gordon, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555 Fax: 912-535-8930 | |
Dr. Martha Smith, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Harris Industrial Blvd Ste A, Vidalia, GA 30474 Phone: 912-535-3500 Fax: 912-535-4498 | |
Mark Hoerman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1811 Edwina Dr, Vidalia, GA 30474 Phone: 912-538-8105 Fax: 912-538-8109 | |
Kenneth S Marvin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Harris Industrial Blvd, Suite A, Vidalia, GA 30474 Phone: 912-535-3500 | |
Sreekanth Reddy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy Ste B, Vidalia, GA 30474 Phone: 912-454-7012 Fax: 866-871-8565 |