| Kristin S Rischar, MD | |
|
408 E 3rd Ave, Cordele, GA 31015 | |
| (229) 271-2229 | |
| (229) 276-3633 |
| Full Name | Kristin S Rischar |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 408 E 3rd Ave, Cordele, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184696817 | NPI | - | NPPES |
| 00715327A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 041962 (Georgia) | Primary |
| Entity Name | Crisp Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700851649 PECOS PAC ID: 5991616336 Enrollment ID: O20040107000032 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin S Rischar, MD Po Box 5007, Cordele, GA 31010 Ph: (229) 271-4656 | Kristin S Rischar, MD 408 E 3rd Ave, Cordele, GA 31015 Ph: (229) 271-2229 |
Dr. Wiley Wilson, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 176 Lakeview Cir, Cordele, GA 31015 Phone: 229-322-0570 Fax: 229-271-7504 | |
Dr. Anne Jennifer Lombardi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1007 E 16th Ave Ste A, Cordele, GA 31015 Phone: 229-273-1716 Fax: 229-273-1720 | |
Dr. Fawzi M Himada, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 811 N. 4th St., Cordele, GA 31015 Phone: 229-273-5575 Fax: 229-273-5075 | |
Ulysses Davila, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 110 E 13th Ave, Cordele, GA 31015 Phone: 229-273-0359 Fax: 229-273-0360 | |
Mohamed H Elgendy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 408 E 3rd Ave, Cordele, GA 31015 Phone: 229-271-2229 | |
Amelia R Stevens, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 408 E 3rd Ave, Cordele, GA 31015 Phone: 229-271-2229 Fax: 229-276-3633 |