| Christine Bohlen, NP | |
|
1550 Eatonton Rd, Madison, GA 30650-4627 | |
| (706) 752-0322 | |
| (706) 752-0325 |
| Full Name | Christine Bohlen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1550 Eatonton Rd, Madison, 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 |
|---|---|---|---|
| 1801293220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN203698 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jasper Memorial Hospital | Monticello, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Qcpi-villagemd Pc | 8123389277 | 70 |
| Entity Name | Qcpi-villagemd Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558872432 PECOS PAC ID: 8123389277 Enrollment ID: O20180306001224 |
| Mailing Address | Practice Location Address |
|---|---|
| Christine Bohlen, NP 1550 Eatonton Rd, Madison, GA 30650-4627 Ph: (706) 752-0322 | Christine Bohlen, NP 1550 Eatonton Rd, Madison, GA 30650-4627 Ph: (706) 752-0322 |
Mrs. Sara Danielle Cannington, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1077 S Main St, Madison, GA 30650 Phone: 706-342-1667 | |
Samantha Lynn Arnold, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 720 Foster St, Madison, GA 30650 Phone: 706-968-0232 | |
Amelia Ruth Malcom, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1075 S Main St, Suite 100, Madison, GA 30650 Phone: 706-752-0322 Fax: 706-752-0325 | |
Andrea Gibson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2151 Eatonton Rd Ste H2, Madison, GA 30650 Phone: 706-438-1222 Fax: 706-438-1234 | |
Mrs. Monica La'shea Williams, APRN, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 812, Madison, GA 30650 Phone: 770-235-4012 | |
Elizabeth Mckenzie Groff, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1550 Eatonton Rd, Madison, GA 30650 Phone: 706-752-0322 | |
Mrs. Tina Marie Hicks-greenway, A-GNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1075 S Main St Ste 400, Madison, GA 30650 Phone: 706-818-3865 Fax: 866-385-9163 |