| Tia Bingham Vincent, MD | |
|
101 Saint Josephs Candler Dr Ste 200, Pooler, GA 31322-9585 | |
| (912) 748-1999 | |
| (912) 527-1002 |
| Full Name | Tia Bingham Vincent |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 101 Saint Josephs Candler Dr Ste 200, Pooler, 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 |
|---|---|---|---|
| 1043645229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 330282 (New York) | Primary |
| 207Q00000X | Family Medicine | 77781 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Candler Hospital | Savannah, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Icahn School Of Medicine At Mount Sinai | 2264691070 | 2587 |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568841930 PECOS PAC ID: 2264691070 Enrollment ID: O20151112000217 |
| Mailing Address | Practice Location Address |
|---|---|
| Tia Bingham Vincent, MD 101 Saint Josephs Candler Dr Ste 200, Pooler, GA 31322-9585 Ph: (912) 748-1999 | Tia Bingham Vincent, MD 101 Saint Josephs Candler Dr Ste 200, Pooler, GA 31322-9585 Ph: (912) 748-1999 |
Dr. David Monroe Nelson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 138 Canal St Ste 201, Pooler, GA 31322 Phone: 912-348-3833 Fax: 912-348-2669 | |
Dolores J Haviland-foley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 Phone: 912-748-1999 Fax: 912-748-3847 | |
Dr. Taylor Frazier, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Saint Josephs Candler Dr Ste 200, Pooler, GA 31322 Phone: 912-748-1999 Fax: 912-748-3847 | |
Dr. Wesley Don Ensley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Towne Center Blvd Bldg 1200, Pooler, GA 31322 Phone: 912-748-2280 Fax: 912-748-4988 | |
Lawrence F Zottoli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 St. Joseph Candler Drive, Suite 200, Pooler, GA 31322 Phone: 912-748-1999 Fax: 912-748-3847 | |
Robert Nolan Brackenrich, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Saint Josephs Candler Dr Ste 200, Pooler, GA 31322 Phone: 912-748-1999 |