| Bmd Telepsychiatry Llc | |
|
1360 Caduceus Way Bldg 400, Ste 102 Watkinsville GA 30677 | |
| (678) 358-2209 | |
| Not Available |
| Full Name | Bmd Telepsychiatry Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1360 Caduceus Way, Watkinsville, Georgia |
| Authorized Official Name and Position | Barbara Marie D'orio (MANAGING MEMBER) |
| Authorized Official Contact | 6783582209 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bmd Telepsychiatry Llc 1360 Caduceus Way Bldg 400, Ste 102 Watkinsville GA 30677 Ph: (678) 358-2209 | Bmd Telepsychiatry Llc 1360 Caduceus Way Bldg 400, Ste 102 Watkinsville GA 30677 Ph: (678) 358-2209 |
| NPI Number | 1649947904 |
|---|---|
| Provider Enumeration Date | 08/25/2021 |
| Last Update Date | 08/27/2021 |
| Medicare PECOS PAC ID | 5092105080 |
|---|---|
| Medicare Enrollment ID | O20211206002903 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649947904 | NPI | - | NPPES |
| 0054240743 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Barbara M D'orio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750391470 PECOS PAC ID: 9638362452 Enrollment ID: I20101025000454 |
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