| Dr Betty Vassiliki Koukis, MD | |
|
1405 S Main St, Moultrie, GA 31768-5811 | |
| (229) 785-2335 | |
| (229) 785-2336 |
| Full Name | Dr Betty Vassiliki Koukis |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 20 Years |
| Location | 1405 S Main St, Moultrie, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922206762 | NPI | - | NPPES |
| 003110693A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4301090876 (Michigan) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 066134 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Colquitt Regional Medical Center | Moultrie, GA | Hospital |
| Entity Name | Obhg Georgia, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750686838 PECOS PAC ID: 9032383583 Enrollment ID: O20111117000602 |
| Entity Name | Dhp Of Piedmont Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316202609 PECOS PAC ID: 9133378763 Enrollment ID: O20120925000798 |
| Entity Name | Betty V Koukis Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417470360 PECOS PAC ID: 2961773163 Enrollment ID: O20170807001995 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Betty Vassiliki Koukis, MD 104 Medical Dr, Dothan, AL 36303-6902 Ph: (334) 671-9445 | Dr Betty Vassiliki Koukis, MD 1405 S Main St, Moultrie, GA 31768-5811 Ph: (229) 785-2335 |
Christine Anne Lurie, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3 Sweet Bay Ct, Moultrie, GA 31768 Phone: 229-985-2198 | |
Dr. Daniel Rae York, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3 Sweet Bay Ct, Moultrie, GA 31768 Phone: 229-985-2198 | |
Dr. Robert Timothy Stark, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3 Sweet Bay Ct, Moultrie, GA 31768 Phone: 229-985-2198 | |
Ronald Edward Trescot, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1 Magnolia Ct, Moultrie, GA 31768 Phone: 229-985-2198 | |
Linnea Ane Mehls, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3 Sweet Bay Ct, Moultrie, GA 31768 Phone: 229-985-2198 Fax: 229-891-3250 | |
Samantha Leggio, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3 Sweet Bay Ct, Moultrie, GA 31768 Phone: 229-985-2198 Fax: 229-891-3250 | |
Dr. Margarett Conklin Ellison, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3131 S Main St, Moultrie, GA 31768 Phone: 229-890-3514 |