| Dr Patrice D Boddie, MD | |
|
240 N Wayne St, Milledgeville, GA 31061-3438 | |
| (478) 452-6999 | |
| (478) 452-7222 |
| Full Name | Dr Patrice D Boddie |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 40 Years |
| Location | 240 N Wayne St, Milledgeville, 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 |
|---|---|---|---|
| 1376530774 | NPI | - | NPPES |
| 00316852B | Medicaid | GA | |
| 00316852A | Medicaid | GA | |
| 581759458 | Other | GA | TAX PAYER ID |
| 52238029 | Other | GA | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 027966 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Navicent Health Baldwin | Milledgeville, GA | Hospital |
| Medical Center, Navicent Health (the) | Macon, GA | Hospital |
| Entity Name | Medical Office Force |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508378613 PECOS PAC ID: 9335481951 Enrollment ID: O20190501001903 |
| Entity Name | Patrice D. Boddie |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194151498 PECOS PAC ID: 5496033607 Enrollment ID: O20210205000101 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrice D Boddie, MD Po Box 1219, Milledgeville, GA 31059-1219 Ph: (478) 452-6999 | Dr Patrice D Boddie, MD 240 N Wayne St, Milledgeville, GA 31061-3438 Ph: (478) 452-6999 |
George E Martinez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 N Cobb St, Ste 120, Milledgeville, GA 31061 Phone: 478-452-5515 Fax: 478-452-5517 | |
Dr. William Keith Garnto, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 163 Roberson Mill Rd, Milledgeville, GA 31061 Phone: 478-453-9402 Fax: 478-453-1216 | |
Mr. Sudershan Kumar Hooda, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 511 N Cobb St, Suite 13, Milledgeville, GA 31061 Phone: 478-453-9472 Fax: 478-453-3134 | |
Dr. Ram K Puri, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1209 Columbia Dr, Milledgeville, GA 31061 Phone: 478-452-3200 Fax: 478-452-1515 | |
Dr. Douglas L Lowe Ii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 681 W Martin Luther King Jr Dr, Milledgeville, GA 31061 Phone: 478-776-5920 | |
Ms. Rashmi Hooda, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 511 N Cobb St, Suite 13, Milledgeville, GA 31061 Phone: 478-453-9472 Fax: 478-453-3134 |