Dr Bascom Asbury Raulerson Iii, DO is a
Student In An Organized Health Care Education/training Program physician based in Columbus, Georgia. Dr Bascom Asbury Raulerson Iii is licensed to practice in * (Not Available) (license number ) and his current practice location is 2122 Manchester Expy, Columbus, Georgia. He can be reached at his office (for appointments etc.) via phone at
(706) 596-4014.
NPI number for Dr Bascom Asbury Raulerson Iii is 1649029653 and his current mailing address is 2122 Manchester Expy, Columbus, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649029653.
Physician's Profile
| Full Name | Dr Bascom Asbury Raulerson Iii |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2122 Manchester Expy, Columbus, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649029653
- Provider Enumeration Date: 05/14/2024
- Last Update Date: 07/08/2026
Medical Identifiers
Medical identifiers for Dr Bascom Asbury Raulerson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649029653 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 16345 (Georgia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bascom Asbury Raulerson Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Bascom Asbury Raulerson Iii, DO 2122 Manchester Expy, Columbus, GA 31904-6878 Ph: (706) 596-4014 | Dr Bascom Asbury Raulerson Iii, DO 2122 Manchester Expy, Columbus, GA 31904-6878 Ph: (706) 596-4014 |
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