| Catherine Bomberger, Md, Llc | |
|
310 Hospital Dr Bldg B, Suite 315 Macon GA 31217-3895 | |
| (478) 464-1933 | |
| (478) 464-5094 |
| Full Name | Catherine Bomberger, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 310 Hospital Dr, Macon, Georgia |
| Authorized Official Name and Position | Catherine Bomberger (OWNER) |
| Authorized Official Contact | 4784641933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine Bomberger, Md, Llc 310 Hospital Dr Bldg B, Suite 315 Macon GA 31217-3895 Ph: (478) 464-1933 | Catherine Bomberger, Md, Llc 310 Hospital Dr Bldg B, Suite 315 Macon GA 31217-3895 Ph: (478) 464-1933 |
| NPI Number | 1194077339 |
|---|---|
| Provider Enumeration Date | 10/11/2012 |
| Last Update Date | 10/11/2012 |
| Medicare PECOS PAC ID | 7416108915 |
|---|---|
| Medicare Enrollment ID | O20121109000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194077339 | NPI | - | NPPES |
| 00875476A | Medicaid | GA | |
| 11BDRTP | Other | GA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 048188 (Georgia) | Primary |
| Provider Name | Catherine J Bomberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124135678 PECOS PAC ID: 7911966494 Enrollment ID: I20041008001204 |
| Provider Name | Konnie Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407128937 PECOS PAC ID: 6608008479 Enrollment ID: I20140409001012 |
| Provider Name | Kristen Elizabeth Henning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518453190 PECOS PAC ID: 0547504086 Enrollment ID: I20181210002792 |
Harvey Jones Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1385 Pio Nono Ave, Macon, GA 31204 Phone: 478-743-1883 | |
First Choice Primary Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 171 Emery Hwy, Macon, GA 31217 Phone: 478-787-4266 | |
Internal Medicine Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr, Bldg C, Ste 200, Macon, GA 31217 Phone: 478-745-1191 Fax: 478-750-4669 | |
Grace Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Charter Blvd, Suite 304, Macon, GA 31210 Phone: 478-405-0280 | |
Atlantic Hospitalist Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 1st St, Macon, GA 31201 Phone: 478-744-9603 Fax: 478-744-9552 | |
Ketamine Centers Of Central Georgia Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3312 Northside Dr Ste D235, Macon, GA 31210 Phone: 478-201-9220 Fax: 478-203-9322 | |
Family Care Of Middle Georgia Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3203 Vineville Ave, Macon, GA 31204 Phone: 478-471-0273 Fax: 478-471-1471 |