| Augustus Cullen Richardson Iii, MD | |
|
605 N Westover Blvd, Albany, GA 31707-2188 | |
| (229) 434-4200 | |
| (229) 434-4208 |
| Full Name | Augustus Cullen Richardson Iii |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 49 Years |
| Location | 605 N Westover Blvd, Albany, 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 |
|---|---|---|---|
| 1659368371 | NPI | - | NPPES |
| 00300616B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 022464 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Albany Surgical, P.c. | 6305831090 | 5 |
| Entity Name | Albany Surgical, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023005675 PECOS PAC ID: 6305831090 Enrollment ID: O20040420001179 |
| Mailing Address | Practice Location Address |
|---|---|
| Augustus Cullen Richardson Iii, MD 605 N Westover Blvd, Albany, GA 31707-2188 Ph: (229) 434-4200 | Augustus Cullen Richardson Iii, MD 605 N Westover Blvd, Albany, GA 31707-2188 Ph: (229) 434-4200 |
Dr. Enrique Patrick Lopez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000 | |
John Charles Bennett, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 425 W 3rd Ave, Suite 410, Albany, GA 31701 Phone: 229-312-0707 Fax: 229-312-0705 | |
Dr. Harry Douglas Vildibill, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 425 W 3rd Ave, Suite 400, Albany, GA 31701 Phone: 229-883-6311 Fax: 229-883-6315 | |
Dr. Sanjay Munireddy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 425 W 3rd Ave, Ste. 410, Phoebe Surgical Oncology, Albany, GA 31701 Phone: 229-312-0707 Fax: 229-312-0705 | |
Dominic Suma, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 229-312-1000 Fax: 229-312-5885 | |
Dr. Otha Burnett Carter Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 425 W 3rd Ave, Suite 400, Albany, GA 31701 Phone: 229-883-6311 Fax: 229-883-6315 | |
Dr. Daniel Jason Martin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 425 W 3rd Ave, Suite 510, Albany, GA 31701 Phone: 229-312-7500 Fax: 229-312-7505 |