Dr Felicia S Lacksen, MD | |
1351 Stonebridge Pkwy, Bldg 105, Watkinsville, GA 30677-6037 | |
(706) 769-3331 | |
(706) 769-3360 |
Full Name | Dr Felicia S Lacksen |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 1351 Stonebridge Pkwy, Watkinsville, 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 |
---|---|---|---|
1285693911 | NPI | - | NPPES |
00857007A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 047612 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
St Mary's Hospital | Athens, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Athens Primary Care Llc | 0648520841 | 63 |
Entity Name | Piedmont Athens Primary Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245746783 PECOS PAC ID: 0648520841 Enrollment ID: O20180910002202 |
Mailing Address | Practice Location Address |
---|---|
Dr Felicia S Lacksen, MD 2727 Paces Ferry Road, Suite 1-1100 (attention Denise), Atlanta, GA 30339 Ph: (470) 271-3421 | Dr Felicia S Lacksen, MD 1351 Stonebridge Pkwy, Bldg 105, Watkinsville, GA 30677-6037 Ph: (706) 769-3331 |
Dr. Akhila Madala, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1305 Jennings Mill Rd Ste 220, Watkinsville, GA 30677 Phone: 706-552-1800 Fax: 706-552-1801 | |
Julio Ernesto Pena, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1360 Caduceus Way, Bldg 400, Suite 104, Watkinsville, GA 30677 Phone: 706-850-8135 Fax: 706-548-9101 | |
Dr. Fareha Rahim, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1305 Jennings Mill Rd Ste 220, Watkinsville, GA 30677 Phone: 706-552-1800 | |
Halee Wright Griffith, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1360 Caduceus Way, Watkinsville, GA 30677 Phone: 706-850-8135 | |
Mrs. Leah Marie Jobson, PA-C Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1624 Mars Hill Rd Ste B, Watkinsville, GA 30677 Phone: 706-310-1030 | |
Dr. Ken H. Park, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1624 Mars Hill Rd Ste B, Watkinsville, GA 30677 Phone: 706-310-1030 | |
Dr. Alvin Fred Young, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1305 Jennings Mill Rd Ste 220, Watkinsville, GA 30677 Phone: 706-552-1800 |