| Vincent Valencia, MD | |
|
172 Mj Taylor Rd, Adel, GA 31620-3497 | |
| (229) 896-3424 | |
| Not Available |
| Full Name | Vincent Valencia |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 172 Mj Taylor Rd, Adel, 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 |
|---|---|---|---|
| 1134359243 | NPI | - | NPPES |
| 003128666A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD68751 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Tifton, GA | Home health agency |
| Suncrest Home Health | Adel, GA | Home health agency |
| Cook Medical Center A Campus Of Tift Reg Med Ctr | Adel, GA | Hospital |
| Tift Regional Medical Center | Tifton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tift Regional Health System Inc | 2062745169 | 262 |
| Tift Regional Health System, Inc. | 5193619971 | 2 |
| Entity Name | Tift Regional Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
| Entity Name | Tift Regional Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881203305 PECOS PAC ID: 2062745169 Enrollment ID: O20200217002409 |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent Valencia, MD 907 18th St E Ste 400, Tifton, GA 31794-3684 Ph: (229) 353-3450 | Vincent Valencia, MD 172 Mj Taylor Rd, Adel, GA 31620-3497 Ph: (229) 896-3424 |
Dr. Jairaj Goberdhan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 407 N Parrish Ave, Adel, GA 31620 Phone: 229-896-1672 Fax: 229-896-1676 | |
Thomas D Fausett Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 N Parrish Ave, Adel, GA 31620 Phone: 229-896-7007 Fax: 229-896-7627 |