| Dr Omar Al Haddad, MD | |
|
1512 E Evans St, Memorial Hospital And Manor, Bainbridge, GA 39819-4364 | |
| (229) 243-3361 | |
| (229) 243-3371 |
| Full Name | Dr Omar Al Haddad |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 1512 E Evans St, Bainbridge, 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 |
|---|---|---|---|
| 1598920951 | NPI | - | NPPES |
| 003109891A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MT191974 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | 065987 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice By The Bay | Larkspur, CA | Hospice |
| Kaiser Foundation Hospital-santa Rosa | Santa rosa, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Omar Al Haddad, MD 1512 E Evans St, Memorial Hospital And Manor, Bainbridge, GA 39819-4364 Ph: (229) 243-3361 | Dr Omar Al Haddad, MD 1512 E Evans St, Memorial Hospital And Manor, Bainbridge, GA 39819-4364 Ph: (229) 243-3361 |
Ladonna M Bass, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 920 S West St, Bainbridge, GA 39819 Phone: 229-246-8850 | |
Jerry David Phillips Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1518 Miluli Ave, Bainbridge, GA 39819 Phone: 229-248-8500 Fax: 229-248-8600 | |
Dr. Gloria Browne, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 505 Amelia Ave, Bainbridge, GA 39819 Phone: 229-243-6900 Fax: 229-243-6919 | |
Dr. Zacharey Alan Powell, DNP, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 E Shotwell St, Bainbridge, GA 39819 Phone: 229-220-9301 | |
Dr. Darrell Shawn Surratt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 603 Wheat Ave, Suite 700, Bainbridge, GA 39819 Phone: 229-243-8462 |