| Oconee Healthcare Center Llc | |
|
133 Colaparchee Ct Macon GA 31210-7226 | |
| (478) 972-0277 | |
| (888) 326-5817 |
| Full Name | Oconee Healthcare Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 133 Colaparchee Ct, Macon, Georgia |
| Authorized Official Name and Position | Farhan Siddiqui (PHYSICIAN) |
| Authorized Official Contact | 4789720277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oconee Healthcare Center Llc Po Box 26698 Macon GA 31221-6698 Ph: (404) 600-1215 | Oconee Healthcare Center Llc 133 Colaparchee Ct Macon GA 31210-7226 Ph: (478) 972-0277 |
| NPI Number | 1306904081 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 09/19/2019 |
| Medicare PECOS PAC ID | 9234392853 |
|---|---|
| Medicare Enrollment ID | O20120518000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306904081 | NPI | - | NPPES |
| 000757831F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Secondary |
| Provider Name | Farhan Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598754301 PECOS PAC ID: 7810912326 Enrollment ID: I20100528000224 |
| Provider Name | Heather E Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053856427 PECOS PAC ID: 7113464462 Enrollment ID: I20240805000224 |
| Provider Name | Alessandra Esnard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073045829 PECOS PAC ID: 1759817125 Enrollment ID: I20241209002310 |
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 | |
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 | |