| Ekta Thakor Patel, MD | |
|
1120 15th St, Augusta, GA 30912-0004 | |
| (706) 721-3157 | |
| Not Available |
| Full Name | Ekta Thakor Patel |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 1120 15th St, Augusta, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336301019 | NPI | - | NPPES |
| A139064 | Other | CA | STATE MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 003078 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | 994188 (California) | Primary |
| 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 |
| Entity Name | Lifelong Medical Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689670002 PECOS PAC ID: 2062304538 Enrollment ID: O20050713000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Ekta Thakor Patel, MD 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-3157 | Ekta Thakor Patel, MD 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-3157 |
Dr. Toya Hester Kelley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3157 | |
Janis S. Coffin, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4588 Fax: 706-721-7264 | |
Dr. Thomas Christopher Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Magnolia Way Ste 101, Augusta, GA 30909 Phone: 706-922-6600 Fax: 706-650-0239 | |
Dr. William Robert Rout, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 963 Bennock Mill Dr., Augusta, GA 30906 Phone: 352-538-5899 | |
Angela Overstreet Wright, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2607 Commons Blvd, Augusta, GA 30909 Phone: 706-750-8601 | |
Shahed Anam Ibn Faruk, Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 | |
Mark David Beckman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3157 |