Mufid Ata Othman, MD | |
2525 2nd St, Suite 150, Macon, GA 31206-2223 | |
(478) 254-7353 | |
(478) 471-6874 |
Full Name | Mufid Ata Othman |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 52 Years |
Location | 2525 2nd St, Macon, 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 |
---|---|---|---|
1962493379 | NPI | - | NPPES |
000183598AH | Medicaid | GA | |
000183598AI | Medicaid | GA | |
000183598AK | Medicaid | GA | |
000183598AL | Medicaid | GA | |
000183598AF | Medicaid | GA | |
000183598AG | Medicaid | GA | |
000183598AJ | Medicaid | GA | |
000183598AE | Medicaid | GA | |
000183598AM | Medicaid | GA | |
000183598AN | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 020786 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Dsi Macon Hemlock Dialysis | Macon, GA | Dialysis facility |
Dsi Milledgeville Dialysis | Milledgeville, GA | Dialysis facility |
Navicent Home Health | Macon, GA | Home health agency |
Medical Center, Navicent Health (the) | Macon, GA | Hospital |
Putnam General Hospital | Eatonton, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kidney Center Of Central Georgia, Llc | 8527240381 | 3 |
Magna Care Medical Specialists Llc | 9638463003 | 6 |
Entity Name | Kidney Center Of Central Georgia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962708891 PECOS PAC ID: 8527240381 Enrollment ID: O20110315000912 |
Entity Name | Magna Care Medical Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487002382 PECOS PAC ID: 9638463003 Enrollment ID: O20160808001242 |
Mailing Address | Practice Location Address |
---|---|
Mufid Ata Othman, MD Po Box 4048, Macon, GA 31208-4048 Ph: (478) 254-7353 | Mufid Ata Othman, MD 2525 2nd St, Suite 150, Macon, GA 31206-2223 Ph: (478) 254-7353 |
Mrs. Mary E Mckinley, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 360 Hospital Dr, Suite 110, Macon, GA 31217 Phone: 478-841-2707 Fax: 478-841-2708 | |
Dr. Swathi Singanamala, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 640 Martin Luther King Jr Blvd, Suite 200, Macon, GA 31201 Phone: 478-745-5455 Fax: 478-803-5232 | |
Dr. Sebastian Alan Montgomery, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr Ste 430, Macon, GA 31217 Phone: 478-751-0480 | |
Sagar Jayant Panse, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 890 2nd St, Suite 201, Macon, GA 31201 Phone: 478-745-4322 Fax: 478-750-8789 | |
Dr. Rana K Munna, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 107 Preston Ct, Macon, GA 31210 Phone: 478-238-0771 Fax: 478-238-6688 | |
Oliver Wendell Horne Iv, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1062 Forsyth St Ste 1b, Macon, GA 31201 Phone: 478-741-1208 | |
Thomas P Meyer, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 360 Hospital Dr Bldg D, Suite 200, Macon, GA 31217 Phone: 478-745-5476 Fax: 478-745-3768 |