| Brick Acosta, MD | |
|
1 Meadows Pkwy, Vidalia, GA 30474-8759 | |
| (912) 535-5555 | |
| (912) 535-5830 |
| Full Name | Brick Acosta |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 36 Years |
| Location | 1 Meadows Pkwy, Vidalia, 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 |
|---|---|---|---|
| 1083607956 | NPI | - | NPPES |
| 00841387E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 047559 (Georgia) | Primary |
| 208M00000X | Hospitalist | 047559 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Meadows Regional Medical Center | Vidalia, GA | Hospital |
| Candler County Hospital | Metter, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cogent Healthcare Of Georgia Pc | 2961483607 | 231 |
| Hospital Authority Of Candler County | 5294623948 | 24 |
| Entity Name | Hospital Authority Of Candler County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588868947 PECOS PAC ID: 5294623948 Enrollment ID: O20040305000415 |
| Entity Name | Cogent Healthcare Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
| Entity Name | Community Primary Care Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336492511 PECOS PAC ID: 0648421065 Enrollment ID: O20121113000274 |
| Mailing Address | Practice Location Address |
|---|---|
| Brick Acosta, MD Po Box 663, Vidalia, GA 30475-0663 Ph: (912) 535-5800 | Brick Acosta, MD 1 Meadows Pkwy, Vidalia, GA 30474-8759 Ph: (912) 535-5555 |
Misty Denise Poole, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Mose Coleman Dr, Vidalia, GA 30474 Phone: 912-537-2200 Fax: 912-537-2260 | |
Dr. Charles A Gordon, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555 Fax: 912-535-8930 | |
Dr. Martha Smith, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Harris Industrial Blvd Ste A, Vidalia, GA 30474 Phone: 912-535-3500 Fax: 912-535-4498 | |
Mark Hoerman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1811 Edwina Dr, Vidalia, GA 30474 Phone: 912-538-8105 Fax: 912-538-8109 | |
Sreekanth Reddy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy Ste B, Vidalia, GA 30474 Phone: 912-454-7012 Fax: 866-871-8565 | |
Samuel L. Featherston, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1707 Meadows Ln Ste G, Vidalia, GA 30474 Phone: 912-535-5120 Fax: 912-535-2015 |