Robert F Boedy, MD | |
2122 Manchester Expy, Columbus, GA 31904-6878 | |
(706) 320-2773 | |
(706) 596-4226 |
Full Name | Robert F Boedy |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 2122 Manchester Expy, 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 |
---|---|---|---|
1437269149 | NPI | - | NPPES |
000406249A | Medicaid | GA | |
G07002 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 034085 (Georgia) | Primary |
Entity Name | Phoebe Putney Memorial Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992789721 PECOS PAC ID: 4486559549 Enrollment ID: O20031203000397 |
Entity Name | Au Medical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
Mailing Address | Practice Location Address |
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Robert F Boedy, MD Po Box 8147, Columbus, GA 31908-8147 Ph: (706) 320-2773 | Robert F Boedy, MD 2122 Manchester Expy, Columbus, GA 31904-6878 Ph: (706) 320-2773 |
Subhendu De, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1311 | |
Feoderis N Basilio, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 104 14th St, Columbus, GA 31901 Phone: 706-507-5437 Fax: 706-507-5499 | |
Dr. Barbara Lynn Menchan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2000 10th Ave, Suite 400, Columbus, GA 31901 Phone: 706-660-2932 Fax: 706-660-2935 | |
Dr. Cheryl Carroll, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2416 Capstone Ct, Columbus, GA 31909 Phone: 706-327-1281 Fax: 706-327-1159 | |
Mrs. Kelli B Whitted, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2001 Brookstone Centre Pkwy, Columbus, GA 31904 Phone: 706-571-9699 Fax: 706-571-9565 | |
Erik A. Heiss, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2416 Capstone Ct, Columbus, GA 31909 Phone: 706-327-1281 Fax: 706-576-9714 | |
David H Levine, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1002 Fax: 706-660-6504 |