Misty D. Poole, Md, Llc in Vidalia, GA - Medicare Internal Medicine

Misty D. Poole, Md, Llc is a medicare enrolled primary clinic (Internal Medicine) in Vidalia, Georgia. The current practice location for Misty D. Poole, Md, Llc is 210 Mose Coleman Dr, Vidalia, Georgia. For appointments, you can reach them via phone at (912) 537-2200. The mailing address for Misty D. Poole, Md, Llc is 210 Mose Coleman Dr, Vidalia, Georgia and phone number is (912) 537-2200.

Misty D. Poole, Md, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003176546. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (912) 537-2200.

Contact Information

	Misty D. Poole, Md, Llc
	210 Mose Coleman Dr Vidalia GA 30474-8677
	(912) 537-2200
	(912) 537-2260

Map and Direction

Primary Care Clinic Profile

Full Name	Misty D. Poole, Md, Llc
Speciality	Internal Medicine
Location	210 Mose Coleman Dr, Vidalia, Georgia
Authorized Official Name and Position	Misty D Poole (OWNER)
Authorized Official Contact	9125372200
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Misty D. Poole, Md, Llc 210 Mose Coleman Dr Vidalia GA 30474-8677 Ph: (912) 537-2200	Misty D. Poole, Md, Llc 210 Mose Coleman Dr Vidalia GA 30474-8677 Ph: (912) 537-2200

NPI Details:

NPI Number	1003176546
Provider Enumeration Date	05/17/2012
Last Update Date	10/09/2015

Medicare PECOS Information:

Medicare PECOS PAC ID	4183871437
Medicare Enrollment ID	O20120822000183

Medical Identifiers

Medical identifiers for Misty D. Poole, Md, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003176546	NPI	-	NPPES
2021111317	Other	GA	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Misty D. Poole, Md, Llc acts as a billing entity for following providers:

Provider Name	Misty D Poole
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1134358419 PECOS PAC ID: 7810144177 Enrollment ID: I20120822000427

Provider Name	Elisabeth Ann Proenza
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1619591120 PECOS PAC ID: 5294153342 Enrollment ID: I20200922001434

Reviews and Comments

Internal Medicine in Vidalia, GA

Wheeler County Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Maple Dr, Vidalia, GA 30474 Phone: 912-537-0616 Fax: 912-537-0617
Southeast Regional Primary Care Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 621 E 1st St Ste B, Vidalia, GA 30474 Phone: 912-535-5120
Vidalia Family Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1702 Meadows Ln, Vidalia, GA 30474 Phone: 912-805-2198 Fax: 912-805-2997
Tattnall Hospital Company, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1811 Edwina Drive, Vidalia, GA 30474 Phone: 912-537-9779 Fax: 912-537-2124
Wiggins Family Practice Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 Arlington Dr, Vidalia, GA 30474 Phone: 912-537-2530 Fax: 912-537-2540
Vidalia Neurology Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1707 Meadows Lane, Suite A, Vidalia, GA 30474 Phone: 912-537-9779

Misty D. Poole, Md, Llc - Medicare Primary Care in Vidalia, GA