| Itoro Bassey Edet Daniels, MD | |
|
803 S Main St, Greensboro, GA 30642 | |
| (706) 454-5114 | |
| (706) 454-5199 |
| Full Name | Itoro Bassey Edet Daniels |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 12 Years |
| Location | 803 S Main St, Greensboro, 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 |
|---|---|---|---|
| 1508202995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R73852 (Arizona) | Secondary |
| 208000000X | Pediatrics | R73852 (Arizona) | Secondary |
| 207R00000X | Internal Medicine | 080742 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Health Home Health | Elberton, GA | Home health agency |
| Amedisys Home Health Of Covington | Covington, GA | Home health agency |
| St. Mary's Good Samaritan Hospital | Greensboro, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| St Mary's Hospital | Athens, GA | Hospital |
| Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
| Putnam General Hospital | Eatonton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oconee Valley Healthcare Inc | 0446232268 | 17 |
| Entity Name | Oconee Valley Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255433736 PECOS PAC ID: 0446232268 Enrollment ID: O20040604000755 |
| Mailing Address | Practice Location Address |
|---|---|
| Itoro Bassey Edet Daniels, MD 803 S Main St, Greensboro, GA 30642-1211 Ph: () - | Itoro Bassey Edet Daniels, MD 803 S Main St, Greensboro, GA 30642 Ph: (706) 454-5114 |
Alejandra Garcia Rychtarikova, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 803 S Main St, Greensboro, GA 30642 Phone: 706-453-1201 Fax: 706-454-0337 | |
Sonia Suda, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 803 S Main St, Greensboro, GA 30642 Phone: 706-453-1201 | |
Julian C Hutchins Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Commerce Dr Ste 108, Greensboro, GA 30642 Phone: 706-999-0243 Fax: 706-999-0245 | |
Juan Luis Pimentel Jr., M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Cowles Clinic Way Ste Cy-300, Greensboro, GA 30642 Phone: 706-410-2111 | |
Dr. Arun Kumar, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Cowles Clinic Way Ste Cy-300, Greensboro, GA 30642 Phone: 706-410-2111 | |
James T Tippett, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1210 Commerce Dr Ste 106, Greensboro, GA 30642 Phone: 706-999-0243 Fax: 706-999-0245 |