| Dr Catherine K Dickens, MD | |
|
107 Canal St, Pooler, GA 31322-4016 | |
| (912) 355-6221 | |
| Not Available |
| Full Name | Dr Catherine K Dickens |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 107 Canal St, Pooler, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770670259 | NPI | - | NPPES |
| 00553407E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35240 (Georgia) | Primary |
| 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 | Southland Emergency Medical Services Consolidated, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033464391 PECOS PAC ID: 4183871320 Enrollment ID: O20120823000503 |
| Entity Name | Applecare Memorial Immediate Care Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962817601 PECOS PAC ID: 8325267081 Enrollment ID: O20140912000272 |
| Entity Name | Southland Cochran Emergency Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205241395 PECOS PAC ID: 9638398027 Enrollment ID: O20140917001247 |
| Entity Name | Southland Optim Screven Emergency Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174917157 PECOS PAC ID: 9739480021 Enrollment ID: O20151210000476 |
| Entity Name | Heritage Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003321969 PECOS PAC ID: 6305100850 Enrollment ID: O20180509000280 |
| Entity Name | St Josephs Candler Urgent Care Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922580133 PECOS PAC ID: 5092058016 Enrollment ID: O20190515000494 |
| Entity Name | Southland Dodge Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851958607 PECOS PAC ID: 8224360805 Enrollment ID: O20191031001338 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Catherine K Dickens, MD 5 Azalia Dr, Statesboro, GA 30458-4908 Ph: (912) 681-3040 | Dr Catherine K Dickens, MD 107 Canal St, Pooler, GA 31322-4016 Ph: (912) 355-6221 |
Dr. David Monroe Nelson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 138 Canal St Ste 201, Pooler, GA 31322 Phone: 912-348-3833 Fax: 912-348-2669 | |
Dolores J Haviland-foley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 Phone: 912-748-1999 Fax: 912-748-3847 | |
Tia Bingham Vincent, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Saint Josephs Candler Dr Ste 200, Pooler, GA 31322 Phone: 912-748-1999 Fax: 912-527-1002 | |
Dr. Taylor Frazier, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Saint Josephs Candler Dr Ste 200, Pooler, GA 31322 Phone: 912-748-1999 Fax: 912-748-3847 | |
Dr. Wesley Don Ensley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Towne Center Blvd Bldg 1200, Pooler, GA 31322 Phone: 912-748-2280 Fax: 912-748-4988 | |
Lawrence F Zottoli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 St. Joseph Candler Drive, Suite 200, Pooler, GA 31322 Phone: 912-748-1999 Fax: 912-748-3847 | |
Robert Nolan Brackenrich, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Saint Josephs Candler Dr Ste 200, Pooler, GA 31322 Phone: 912-748-1999 |