| Andrew Vincent Cichelli, MD | |
|
1601 Fair Road, Suite 600 Cotton Ridge Medical Plaza, Statesboro, GA 30458 | |
| (912) 681-4911 | |
| (912) 681-6911 |
| Full Name | Andrew Vincent Cichelli |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 45 Years |
| Location | 1601 Fair Road, Statesboro, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710044557 | NPI | - | NPPES |
| 044433 | Other | GA | STATE LIC |
| 00763221A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0012X | Internal Medicine - Sleep Medicine | 044433 (Georgia) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 044433 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Statesboro, GA | Home health agency |
| East Georgia Regional Medical Center | Statesboro, GA | Hospital |
| Emanuel Medical Center | Swainsboro, GA | Hospital |
| Optim Medical Center - Screven | Sylvania, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Georgia Hma Physician Management Llc | 7214068592 | 35 |
| Entity Name | East Georgia Hma Physician Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487983151 PECOS PAC ID: 7214068592 Enrollment ID: O20100630000504 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Vincent Cichelli, MD Po Box 2748, Statesboro, GA 30459 Ph: (912) 681-4911 | Andrew Vincent Cichelli, MD 1601 Fair Road, Suite 600 Cotton Ridge Medical Plaza, Statesboro, GA 30458 Ph: (912) 681-4911 |
Dr. Mark P Crick, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1449 Brampton Ave, Statesboro, GA 30458 Phone: 912-871-2900 Fax: 912-871-2903 | |
Anthony B. Chappell, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1076 Bermuda Run Road, Statesboro, GA 30458 Phone: 912-871-7810 Fax: 912-871-7820 | |
Dr. Ajay Jain, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1497 Fair Rd, Suite 305, Statesboro, GA 30458 Phone: 912-681-2273 | |
Wayne Bryan, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1499 Fair Rd Fl 3, Statesboro, GA 30458 Phone: 912-486-1431 | |
Mr. Courage A Atekha, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1030 Bermuda Run, Statesboro, GA 30458 Phone: 912-764-8396 Fax: 912-764-7188 | |
Dr. Patrick Dorvilus, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1497 Fair Rd Ste 104, Statesboro, GA 30458 Phone: 912-486-1600 Fax: 912-871-3342 | |
Basil Sohail Bangash, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1601 Fair Rd Ste 600, Statesboro, GA 30458 Phone: 912-681-4911 Fax: 912-681-6911 |