| Patricia A Caudell, MD | |
|
1462 Laney Walker Blvd, Ca-2105, Augusta, GA 30912-0003 | |
| (706) 721-9341 | |
| Not Available |
| Full Name | Patricia A Caudell |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 1462 Laney Walker Blvd, Augusta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043393820 | NPI | - | NPPES |
| 000787663C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 041412 (Georgia) | Primary |
| Entity Name | Oregon Urology Institute Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801812078 PECOS PAC ID: 6608766399 Enrollment ID: O20151208001798 |
| Entity Name | Laboratory Medicine, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255932828 PECOS PAC ID: 9436560083 Enrollment ID: O20201202003422 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia A Caudell, MD Po Box 844590, Dallas, TX 75284-4590 Ph: () - | Patricia A Caudell, MD 1462 Laney Walker Blvd, Ca-2105, Augusta, GA 30912-0003 Ph: (706) 721-9341 |
Brandol Wolfenbarger, Pathology Medicare: Medicare Enrolled Practice Location: 1459 Laney Walker Blvd, Augusta, GA 30912 Phone: 706-721-7005 | |
Dr. Mary Taneous, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1350 Walton Way, Augusta, GA 30901 Phone: 706-774-5400 Fax: 706-774-5096 | |
Dr. Kailash B Sharma, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1350 Walton Way, Augusta, GA 30901 Phone: 706-774-5400 Fax: 706-774-5096 | |
Amanda Carina Barrett, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th Street, Augusta, GA 30912 Phone: 706-721-8623 Fax: 706-721-1459 | |
Lakshmikantam Vemavarapu, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 Fax: 706-721-1459 | |
Okechukwu Valentine Nwogbo, M.B.B.S, MD. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-5118 |