| Eric Steven Bour, MD | |
|
1010 Prince Ave Ste 400, Athens, GA 30606-5812 | |
| (706) 425-1400 | |
| (706) 548-0184 |
| Full Name | Eric Steven Bour |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 39 Years |
| Location | 1010 Prince Ave Ste 400, Athens, 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 |
|---|---|---|---|
| 1548245913 | NPI | - | NPPES |
| GP2489 | Medicaid | SC | |
| P00378890 | Other | SC | RR MEDICARE |
| 576007863190 | Other | SC | BCBS OF SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 79719 (Georgia) | Secondary |
| 208600000X | Surgery | 079719 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Athens Specialty Care Llc | 8820349772 | 116 |
| Entity Name | Piedmont Providers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
| Entity Name | Piedmont Specialty Hospital Billing LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699290510 PECOS PAC ID: 4183986490 Enrollment ID: O20180327001180 |
| Entity Name | Piedmont Athens Hospitalist Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578079000 PECOS PAC ID: 6305196411 Enrollment ID: O20180911003967 |
| Entity Name | Piedmont Athens Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184130627 PECOS PAC ID: 8820349772 Enrollment ID: O20180917001273 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Steven Bour, MD 1010 Prince Ave Ste 400, Athens, GA 30606-5812 Ph: (706) 425-1400 | Eric Steven Bour, MD 1010 Prince Ave Ste 400, Athens, GA 30606-5812 Ph: (706) 425-1400 |
Samantha Whitcomb, Surgery Medicare: Not Enrolled in Medicare Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-7000 |
Dr. Thomas H Hawk Jr., M.D. Surgery Medicare: Medicare Enrolled Practice Location: 740 Prince Ave, Building 8a, Athens, GA 30606 Phone: 706-353-1630 Fax: 706-543-6825 |
Ashlee R Kimbrell, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1010 Prince Ave Ste 100, Athens, GA 30606 Phone: 706-425-1420 |
Dr. Julie Beth Siegel, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3320 Old Jefferson Rd Bldg 700, Athens, GA 30607 Phone: 706-715-2430 Fax: 762-316-2115 |
Dr. Mohammed Hisham Obeidin, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1010 Prince Ave Ste 400, Athens, GA 30606 Phone: 706-425-1400 Fax: 706-548-0184 |
Ryan M Katz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Oglethorpe Ave Ste 2000, Athens, GA 30606 Phone: 706-548-5488 Fax: 706-548-0016 |
Dr. Fia Yi, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3320 Old Jefferson Rd Bldg 700, Athens, GA 30607 Phone: 706-353-2990 Fax: 706-353-2992 |