| Basil Ezenwa, MD | |
|
616 19th St, Columbus, GA 31901-1528 | |
| (904) 805-1300 | |
| (904) 805-1302 |
| Full Name | Basil Ezenwa |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 42 Years |
| Location | 616 19th St, Columbus, 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 |
|---|---|---|---|
| 1942244280 | NPI | - | NPPES |
| 009922855 | Medicaid | AL | |
| 000580082D | Medicaid | GA | |
| 616430 | Other | GA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 37797 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Current Care Pa | 9739260019 | 383 |
| Entity Name | Hartwell Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962540849 PECOS PAC ID: 6709980022 Enrollment ID: O20070327000195 |
| Entity Name | American Current Care Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710168117 PECOS PAC ID: 9739260019 Enrollment ID: O20080220000473 |
| Mailing Address | Practice Location Address |
|---|---|
| Basil Ezenwa, MD Po Box 532724, Atlanta, GA 30353-2724 Ph: (904) 805-1300 | Basil Ezenwa, MD 616 19th St, Columbus, GA 31901-1528 Ph: (904) 805-1300 |
Dr. Jonathan Thomas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Veterans Pkwy Apt 814, Columbus, GA 31909 Phone: 814-504-4211 | |
Dr. Jacqueline Akua Owusu, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2022 10th Ave Ste B, Columbus, GA 31901 Phone: 706-507-9407 Fax: 706-507-9408 | |
Mr. David P. Smith, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2122 Manchester Expressway, Columbus, GA 31904 Phone: 706-596-4000 | |
John R Corbin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2122 Manchester Expressway, Columbus, GA 31904 Phone: 706-596-4000 | |
Dr. Kennon A Mclendon, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1200 | |
Michael David Hagues, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2122 Manchester Expressway, Columbus, GA 31904 Phone: 706-596-4000 | |
Gehrig Leonard Harris Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 7093 Haddonfield Ct, Columbus, GA 31904 Phone: 337-336-0423 |