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Abdullah A Baosman

Internal Medicine

Allopathic & Osteopathic Physicians

1500 Oglethorpe Ave Ste 200c, Athens, GA 30606-2165

PECOS Enrollment

This provider is enrolled in PECOS as ABDULLAH BAOSMAN.

Based on the most recent information from CMS, provider Abdullah A Baosman is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1508507807
Provider Type
Individual
Full Name
Baosman, Abdullah A
Credential
DO

Gender
Male
Sole Proprietor
No
Enumeration Date
4/2/2022
Last Updated
8/24/2022

Contact Information

Practice Location

1500 Oglethorpe Ave Ste 200c, Athens, GA 30606-2165

(706) 389-3875

(706) 389-3876

Mailing Location

1230 Baxter St, Athens, GA 30606-3712

(706) 389-3860

(706) 389-3861

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 13701 Georgia
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Abdullah A Baosman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Townsend, David L

Van Rijn, Kilian

Athens Internal Medicine Pc

Okoye, Cynthia Chizoba

Athens Regional Physician Services, Inc

Blackburn, Daphne Lorraine

Ward, Lela Anne Laseter

Brooks, Albert Patrick

Fazal, Rahim

Fliegel, Evan J