Amy S House, PHD | |
1120 15th St, Augusta, GA 30912-0004 | |
(706) 721-3141 | |
(706) 721-6602 |
Full Name | Amy S House |
---|---|
Gender | Female |
Speciality | Clinical Psychologist |
Experience | 28 Years |
Location | 1120 15th St, Augusta, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992815278 | NPI | - | NPPES |
PS0362 | Medicaid | SC | |
000767665A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PSY002140 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Au Medical Center | Augusta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Augusta University | 0840188090 | 18 |
Entity Name | Augusta University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760559124 PECOS PAC ID: 0840188090 Enrollment ID: O20040309000453 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Amy S House, PHD 1499 Walton Way, Ste 1400, Augusta, GA 30901-2602 Ph: (706) 828-8401 | Amy S House, PHD 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-3141 |
Dr. Sonya Yvette Medina, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 | |
Jason Henle, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 997 Saint Sebastian Way, Augusta, GA 30912 Phone: 706-721-6597 Fax: 706-721-6602 | |
Dr. Cameron Mosley, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-288-8401 Fax: 706-828-8401 | |
Sue V Moore, MS, LPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 448 Telfair St, Augusta, GA 30901 Phone: 706-722-7788 Fax: 706-724-8300 | |
Dr. Lori T. Welch-sigmon, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 | |
Patrick A. Boudewyns, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3141 Fax: 706-721-6602 | |
Ralph A. Gillies, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4588 Fax: 706-721-7264 |