Timothy Justin Osborne, MD | |
303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474-8854 | |
(912) 535-7000 | |
(912) 535-7020 |
Full Name | Timothy Justin Osborne |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 15 Years |
Location | 303 Harris Industrial Blvd Ste 5, Vidalia, 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 |
---|---|---|---|
1508090366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 8325558 (Alabama) | Secondary |
207P00000X | Emergency Medicine | 68085 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mayo Clinic Health System In Waycross | Waycross, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Acs Primary Care Physicians - Southeast Pc | 5193620714 | 335 |
Entity Name | Acs Primary Care Physicians - Southeast Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
Entity Name | Montgomery Emergency Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861773764 PECOS PAC ID: 5395918387 Enrollment ID: O20111108000598 |
Mailing Address | Practice Location Address |
---|---|
Timothy Justin Osborne, MD 619 19th St S, Birmingham, AL 35249-1900 Ph: (205) 934-4794 | Timothy Justin Osborne, MD 303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474-8854 Ph: (912) 535-7000 |
Dr. John V Spence, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Harris Industrial Blvd, Suite E, Vidalia, GA 30474 Phone: 770-309-6636 Fax: 912-277-2080 | |
Dr. Glen Jason Bunn Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555 Fax: 912-535-5891 | |
Mr. Steven Michael Lashley, FNP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474 Phone: 912-535-7000 |