Issac E Su, MD | |
2336 Dawson Rd Ste 2200, Albany, GA 31707-2801 | |
(229) 312-8797 | |
Not Available |
Full Name | Issac E Su |
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Gender | Male |
Speciality | Family Medicine |
Location | 2336 Dawson Rd Ste 2200, Albany, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023634342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 92495 (California) | Secondary |
207Q00000X | Family Medicine | 11686 (Georgia) | Primary |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200115001292 |
Mailing Address | Practice Location Address |
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Issac E Su, MD 500 W 3rd Ave Ste 101, Albany, GA 31701-1900 Ph: (229) 312-5802 | Issac E Su, MD 2336 Dawson Rd Ste 2200, Albany, GA 31707-2801 Ph: (229) 312-8797 |
Serena Miller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2336 Dawson Rd Ste 1500, Albany, GA 31707 Phone: 229-312-8800 | |
Soraya Djadjo, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2336 Dawson Rd Ste 2200, Albany, GA 31707 Phone: 229-312-8878 Fax: 229-312-8743 | |
Sarah Lynn Codrea, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2336 Dawson Rd, Ste 2200, Albany, GA 31707 Phone: 229-312-8871 | |
Jason Gabriel Barnhart, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000 | |
Edwina Henry, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2336 Dawson Rd Ste 2200, Albany, GA 31707 Phone: 229-312-8878 | |
Monisola Modupe Sanusi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2336 Dawson Rd, 1100, Albany, GA 31707 Phone: 229-312-8871 | |
Joseph G Sonntag, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2336 Dawson Rd Ste 2200, Albany, GA 31707 Phone: 229-312-8797 |