| Beau Philip Gedrick, DO | |
|
4490 Washington Rd Ste 2, Evans, GA 30809-5899 | |
| (762) 930-3539 | |
| (706) 391-4250 |
| Full Name | Beau Philip Gedrick |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Sports Medicine |
| Location | 4490 Washington Rd Ste 2, Evans, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679899215 | NPI | - | NPPES |
| 003173115B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 075463 (Georgia) | Secondary |
| 207PS0010X | Emergency Medicine - Sports Medicine | 075463 (Georgia) | Primary |
| Entity Name | Au Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| Entity Name | Au Medical Associates Emergency Medicine Billing Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982089777 PECOS PAC ID: 3072823186 Enrollment ID: O20151102001458 |
| Entity Name | Flex Sports Medicine And Wellness, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457128613 PECOS PAC ID: 4385188622 Enrollment ID: O20240627003441 |
| Mailing Address | Practice Location Address |
|---|---|
| Beau Philip Gedrick, DO 4490 Washington Rd Ste 2, Evans, GA 30809-5899 Ph: (762) 930-3539 | Beau Philip Gedrick, DO 4490 Washington Rd Ste 2, Evans, GA 30809-5899 Ph: (762) 930-3539 |
Mr. Bozeman K Sherwood, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 447 N Belair Rd Ste 101, Evans, GA 30809 Phone: 706-854-2222 Fax: 706-854-2223 | |
Julie Palbykin Hicks, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 447 N Belair Rd Ste 101, Evans, GA 30809 Phone: 706-854-2222 Fax: 706-854-2223 | |
Dr. David Daniel Brosnahan, M.D., M.S. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 512 Thompkins Ln, Evans, GA 30809 Phone: 706-814-0679 | |
Amanda Tapley Mcgriff, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 411 Town Park Blvd, Evans, GA 30809 Phone: 706-854-2500 Fax: 706-854-2559 | |
Tania Qadir, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4184 Hannahs Xing, Evans, GA 30809 Phone: 845-427-1223 |