| Ilako Chrystelle Agbatchi-houedan, NP | |
|
1120 15th St, Augusta, GA 30912-0004 | |
| (706) 721-8623 | |
| (706) 721-1459 |
| Full Name | Ilako Chrystelle Agbatchi-houedan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1120 15th St, Augusta, 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 |
|---|---|---|---|
| 1922693134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN279629 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pathfinder Home Health | The woodlands, TX | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pallicare, Inc | 8123429925 | 85 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486 |
| Entity Name | Pallicare, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316511884 PECOS PAC ID: 8123429925 Enrollment ID: O20210630003632 |
| Entity Name | Rippl Care PC of Washington Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427767391 PECOS PAC ID: 4385016146 Enrollment ID: O20240227002680 |
| Mailing Address | Practice Location Address |
|---|---|
| Ilako Chrystelle Agbatchi-houedan, NP 1120 15th St, Or 6000, Augusta, GA 30912-0004 Ph: (706) 721-3813 | Ilako Chrystelle Agbatchi-houedan, NP 1120 15th St, Augusta, GA 30912-0004 Ph: (706) 721-8623 |
Mr. Robert Scott Smith, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8549 |
Veronica Bradford, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2467 Golden Camp Rd, Augusta, GA 30906 Phone: 706-790-4440 |
Nadia Reese, AGACNP-BC, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3604 Wheeler Rd Ste E, Augusta, GA 30909 Phone: 706-432-1111 |
Britney Wilkinson, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1120 15th St # Or-6000, Augusta, GA 30912 Phone: 706-726-9257 |
Jenevieve Dion Carmichael, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3910 Washington Rd, Augusta, GA 30907 Phone: 706-664-0767 |
Shelby Craig, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 Greene St Ste 200, Augusta, GA 30901 Phone: 706-722-6900 Fax: 706-722-5118 |
Magen Brooke Luke, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909 Phone: 706-863-9595 Fax: 706-868-8375 |