Katherine Pottinger Bohannon, DO is a medicare enrolled "Pediatrics" physician in Calham, Georgia. Her current practice location is
204 Professional Ct. Se, Calham, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 625-5900.
Katherine Pottinger Bohannon is licensed to practice in Georgia (license number 88717) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669965489.
Physician's Profile
Full Name | Katherine Pottinger Bohannon |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 204 Professional Ct. Se, Calham, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669965489
- Provider Enumeration Date: 06/07/2018
- Last Update Date: 08/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 3173863107
- Enrollment ID: I20190328002414
Medical Identifiers
Medical identifiers for Katherine Pottinger Bohannon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669965489 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 010072 (Georgia) | Secondary |
208000000X | Pediatrics | 88717 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherine Pottinger Bohannon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Katherine Pottinger Bohannon, DO 204 Professional Court Se, Calham, GA 30701 Ph: (706) 766-5643 | Katherine Pottinger Bohannon, DO 204 Professional Ct. Se, Calham, GA 30701 Ph: (706) 625-5900 |
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