Simon Adames, MD | |
3386 Greystone Way, Valdosta, GA 31605-1096 | |
(229) 219-7407 | |
Not Available |
Full Name | Simon Adames |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 3386 Greystone Way, Valdosta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205804622 | NPI | - | NPPES |
930071441 | Other | RAILROAD MEDICARE | |
598745 | Other | GA | BLUE CROSS BLUE SHIELD |
000804328E | Medicaid | GA | |
254800300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 045155 (Georgia) | Primary |
207P00000X | Emergency Medicine | 45155 (Georgia) | Secondary |
Entity Name | Colquitt Regional Emergency Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902211642 PECOS PAC ID: 6901026509 Enrollment ID: O20141002001293 |
Mailing Address | Practice Location Address |
---|---|
Simon Adames, MD 3386 Greystone Way, Valdosta, GA 31605-1096 Ph: (229) 219-7826 | Simon Adames, MD 3386 Greystone Way, Valdosta, GA 31605-1096 Ph: (229) 219-7407 |
Dr. Asma Yasin, MBBS Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4178 | |
Dr. Nikolay Gogin, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4131 | |
Dr. Felix G Valdez, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4501 Fax: 229-259-4502 | |
Dr. Moriamo Adedoyin Fashugba, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-433-1000 | |
Dr. Gerald S Light, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3564b Northcrossing Cir, Valdosta, GA 31602 Phone: 229-247-1414 Fax: 229-247-1978 | |
Dr. William C Tidmore Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2418 N Oak St, Valdosta, GA 31602 Phone: 229-219-0247 Fax: 229-219-0837 | |
Dr. Michael Heron, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4178 |