| Dr Bennie Brown Jr, DO | |
|
447 N Belair Rd Ste 101, Evans, GA 30809-3091 | |
| (706) 854-2222 | |
| (706) 854-2223 |
| Full Name | Dr Bennie Brown Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 447 N Belair Rd Ste 101, Evans, 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 |
|---|---|---|---|
| 1770570236 | NPI | - | NPPES |
| 08636876 | Medicaid | MS | |
| 003139672C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 18711 (Mississippi) | Secondary |
| 207Q00000X | Family Medicine | 065085 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Golden Rule Hospice Inc | Alpharetta, GA | Hospice |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Entity Name | Peachtree Immediate Care Fp, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Entity Name | Wellstreet Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235411547 PECOS PAC ID: 7517126279 Enrollment ID: O20120315000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bennie Brown Jr, DO Po Box 1705, Augusta, GA 30903-1705 Ph: (706) 774-7263 | Dr Bennie Brown Jr, DO 447 N Belair Rd Ste 101, Evans, GA 30809-3091 Ph: (706) 854-2222 |
Shireen Qureshi Moore, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 363 N Belair Rd, Evans, GA 30809 Phone: 706-650-7563 Fax: 706-650-9540 | |
Dr. Sherry T Barinowski, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 465 N Belair Rd, Suite 1c, Evans, GA 30809 Phone: 706-854-2160 Fax: 706-854-2930 | |
Dr. Kevin Kennedy Trapnell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 447 N Belair Rd, # 101, Evans, GA 30809 Phone: 706-854-2222 Fax: 706-854-2223 | |
Courtney Rambo Corley, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 N Belair Rd Ste 2b, Evans, GA 30809 Phone: 706-774-7400 | |
Dr. Dorthe Rauholt Peloquin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4344 Hardy Mcmanus Rd, Evans, GA 30809 Phone: 706-863-2810 Fax: 706-863-3233 | |
Dr. John William Richards Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3914 Mullikin Rd, Evans, GA 30809 Phone: 706-877-4705 | |
Kelley Velinda Mondi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 465 N Belair Rd, Suite 1c, Evans, GA 30809 Phone: 706-854-2160 Fax: 706-854-2930 |