| Derrick D Phillips, MD | |
|
3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8536 | |
| (478) 953-4563 | |
| (478) 953-4683 |
| Full Name | Derrick D Phillips |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 3051 Watson Blvd, Warner Robins, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396702965 | NPI | - | NPPES |
| 00344627A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 029514 (Georgia) | Primary |
| Entity Name | Houston Orthopedic Surgery & Sports Medicine, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205866605 PECOS PAC ID: 5092703835 Enrollment ID: O20040503000329 |
| Mailing Address | Practice Location Address |
|---|---|
| Derrick D Phillips, MD 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8536 Ph: (478) 953-4563 | Derrick D Phillips, MD 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093-8536 Ph: (478) 953-4563 |
Dr. Zaneb Yaseen, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 Margie Dr, Warner Robins, GA 31088 Phone: 478-971-1153 Fax: 478-971-1171 | |
Dr. Jonathan Harris, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 Margie Dr, Warner Robins, GA 31088 Phone: 478-971-1153 Fax: 478-971-1171 | |
Daxes M. Banit, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093 Phone: 478-953-4563 Fax: 478-953-4683 | |
William Baxter Wiley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3051 Watson Blvd, Suite 525, Warner Robins, GA 31093 Phone: 478-953-4563 Fax: 478-953-4683 | |
David Huey Wiley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3051 Watson Blvd, Warner Robins, GA 31093 Phone: 478-953-4563 Fax: 478-953-4564 | |
Dr. Brian J. Ludwig, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 301 Margie Dr, Warner Robins, GA 31088 Phone: 478-971-1153 Fax: 478-971-1171 |