| Jim R Wade, MD | |
|
58 Big A Road, Toccoa, GA 30577-6017 | |
| (706) 886-6819 | |
| (706) 282-5368 |
| Full Name | Jim R Wade |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 47 Years |
| Location | 58 Big A Road, Toccoa, 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 |
|---|---|---|---|
| 1700860913 | NPI | - | NPPES |
| 000001834A | Medicaid | GA | |
| 000222846A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 22664 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tugaloo Home Health Agency, An Amedisys Company | Lavonia, GA | Home health agency |
| Stephens County Hospital | Toccoa, GA | Hospital |
| Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
| Pruitthealth - Toccoa | Toccoa, GA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stephens County Hospital Physician Group Llc | 7012219306 | 7 |
| Entity Name | Stephens County Hospital Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659761955 PECOS PAC ID: 7012219306 Enrollment ID: O20160104001195 |
| Mailing Address | Practice Location Address |
|---|---|
| Jim R Wade, MD 58 Big A Road, Toccoa, GA 30577-6017 Ph: (706) 886-6819 | Jim R Wade, MD 58 Big A Road, Toccoa, GA 30577-6017 Ph: (706) 886-6819 |
Marc S Coan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 58 Big A Road, Toccoa, GA 30577 Phone: 706-886-6819 Fax: 706-282-5368 | |
Thomas David Yates, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 58 Big A Rd, Toccoa, GA 30577 Phone: 706-886-6819 Fax: 706-282-5368 | |
Dr. Anthony Iluyomade, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 58 Big A Rd, Toccoa, GA 30577 Phone: 706-886-3148 | |
Dr. Muhammad Arbab Ali, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 58 Big A Rd, Toccoa, GA 30577 Phone: 706-886-6819 | |
Bhaskerrao Patel, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 58 Big A Road, Toccoa, GA 30577 Phone: 706-886-9819 Fax: 706-282-5368 |