Phillip Edwin Douglas, DO | |
1800 10th Ave, Columbus, GA 31901-1513 | |
(706) 571-1120 | |
Not Available |
Full Name | Phillip Edwin Douglas |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 13 Years |
Location | 1800 10th Ave, Columbus, 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 |
---|---|---|---|
1659571438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 002478 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Mississippi Medical Center | Tupelo, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pontotoc Health Services, Inc. | 6002895356 | 22 |
Relias Emergency Medicine Specialists Of Tupelo Llc | 6608179734 | 25 |
Entity Name | Pontotoc Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821103516 PECOS PAC ID: 6002895356 Enrollment ID: O20040719001336 |
Entity Name | Relias Emergency Medicine Specialists Of Tupelo Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841664661 PECOS PAC ID: 6608179734 Enrollment ID: O20160125001174 |
Mailing Address | Practice Location Address |
---|---|
Phillip Edwin Douglas, DO 1800 10th Ave, Columbus, GA 31901-1513 Ph: (706) 571-1120 | Phillip Edwin Douglas, DO 1800 10th Ave, Columbus, GA 31901-1513 Ph: (706) 571-1120 |
Clayton Paul Michael Bellam, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Veterans Pkwy Apt 802, Columbus, GA 31909 Phone: 770-906-0084 | |
Dr. Jeffrey S Jenkins, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 10th Ave, Suite 200, Columbus, GA 31901 Phone: 706-321-3745 Fax: 706-321-3749 | |
Dr. Jefferson C Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 10th Ave, Suite 200, Columbus, GA 31901 Phone: 706-321-3745 Fax: 706-321-3749 | |
Dr. Robert O'neil Snoddy, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 610 19th St, Columbus, GA 31901 Phone: 706-322-7884 Fax: 706-660-2167 | |
Dr. Lisa W. Gantner, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7901 Veterans Pkwy, Columbus, GA 31909 Phone: 706-321-1223 Fax: 706-321-0819 | |
Shikha Shah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6200 Bradley Park Dr, Columbus, GA 31904 Phone: 706-591-8080 Fax: 888-905-2571 | |
Anthony Iwelunmor, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1000 |