| Jose Medina Md Pc | |
|
3334 Greystone Way Valdosta GA 31605-1096 | |
| (229) 247-1667 | |
| (229) 247-3456 |
| Full Name | Jose Medina Md Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3334 Greystone Way, Valdosta, Georgia |
| Authorized Official Name and Position | Jose Medina (OWNER) |
| Authorized Official Contact | 2292471667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Medina Md Pc Po Box 3550 Valdosta GA 31604-3550 Ph: (229) 247-1667 | Jose Medina Md Pc 3334 Greystone Way Valdosta GA 31605-1096 Ph: (229) 247-1667 |
| NPI Number | 1407047269 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 06/15/2010 |
| Medicare PECOS PAC ID | 4486548161 |
|---|---|
| Medicare Enrollment ID | O20040212000354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407047269 | NPI | - | NPPES |
| 00686507C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 041166 (Georgia) | Primary |
| Provider Name | Jose Medina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417944513 PECOS PAC ID: 0244124931 Enrollment ID: I20040622000434 |
| Provider Name | Jose Medina-smester |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295053593 PECOS PAC ID: 3779809025 Enrollment ID: I20180723002355 |
Joseph S Thomas M D Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Connell Rd, Ste T, Valdosta, GA 31602 Phone: 229-242-9565 Fax: 229-242-1725 | |
Care Medical Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2804 N Oak St, Suite C, Valdosta, GA 31602 Phone: 229-241-8925 Fax: 229-241-7672 | |
Griner Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3301 N Oak Street Ext, Valdosta, GA 31605 Phone: 229-242-6061 Fax: 229-242-6151 | |
Valdosta Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3300 Greystone Way, Valdosta, GA 31605 Phone: 229-247-7700 | |
Valdosta Gastroenterology Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 410 Connell Rd, Valdosta, GA 31602 Phone: 229-244-1570 Fax: 229-247-1084 | |
Partnership Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Griffin Ave, Valdosta, GA 31601 Phone: 229-245-0020 Fax: 229-245-9855 | |
Bennett P Hogan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 117 W Northside Dr, Valdosta, GA 31602 Phone: 229-333-0616 Fax: 229-333-0647 |