Edward John Fricker, MD | |
3207 Country Club Dr, Valdosta, GA 31605-1029 | |
(229) 242-8480 | |
(229) 247-7539 |
Full Name | Edward John Fricker |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 37 Years |
Location | 3207 Country Club Dr, Valdosta, 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 |
---|---|---|---|
1316933823 | NPI | - | NPPES |
00610915A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 038487 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
South Georgia Medical Center | Valdosta, GA | Hospital |
Cook Medical Center A Campus Of Tift Reg Med Ctr | Adel, GA | Hospital |
Tift Regional Medical Center | Tifton, GA | Hospital |
Sgmc Berrien Campus | Nashville, GA | Hospital |
Sgmc Lanier Campus | Lakeland, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwell Ambulatory Inc | 9234566779 | 12 |
Entity Name | Valdosta Medical Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538200035 PECOS PAC ID: 9234197286 Enrollment ID: O20041222000501 |
Entity Name | Privia Medical Group Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
Entity Name | Southwell Ambulatory Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164069472 PECOS PAC ID: 9234566779 Enrollment ID: O20200224001260 |
Mailing Address | Practice Location Address |
---|---|
Edward John Fricker, MD 3207 Country Club Dr, Valdosta, GA 31605-1029 Ph: (229) 242-8480 | Edward John Fricker, MD 3207 Country Club Dr, Valdosta, GA 31605-1029 Ph: (229) 242-8480 |
Dr. Felix G Valdez, MD Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4501 Fax: 229-259-4502 | |
Dr. Gerald S Light, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 3564b Northcrossing Cir, Valdosta, GA 31602 Phone: 229-247-1414 Fax: 229-247-1978 | |
Dr. William C Tidmore Jr., M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2418 N Oak St, Valdosta, GA 31602 Phone: 229-219-0247 Fax: 229-219-0837 | |
Dhaval Pankaj Patel, DO Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-433-3417 Fax: 229-433-3454 | |
Hala Sharma, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-433-1000 | |
Dr. Prem Kumar, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3300 Greystone Way, Valdosta, GA 31605 Phone: 229-247-7700 Fax: 229-247-2666 | |
Kesavan Gopa Kumar, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 3207 Country Club Dr, Valdosta, GA 31605 Phone: 229-242-8480 Fax: 229-241-0252 |