Thomas A Wade Jr, MD | |
610 19th St, Columbus, GA 31901-1528 | |
(706) 322-7884 | |
(706) 660-2145 |
Full Name | Thomas A Wade Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 610 19th St, 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 |
---|---|---|---|
1861416059 | NPI | - | NPPES |
00144152F | Medicaid | GA | |
110054050 | Other | GA | RAIL ROAD MEDICARE |
000144152J | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 16194 (Georgia) | Primary |
Entity Name | St Francis Affiliated Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912371220 PECOS PAC ID: 2567765662 Enrollment ID: O20160125000179 |
Mailing Address | Practice Location Address |
---|---|
Thomas A Wade Jr, MD Po Box 9247, Columbus, GA 31908-9247 Ph: (706) 322-7884 | Thomas A Wade Jr, MD 610 19th St, Columbus, GA 31901-1528 Ph: (706) 322-7884 |
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 |