| Bennett P Hogan, MD | |
|
117 W Northside Dr, Valdosta, GA 31602-1700 | |
| (229) 333-0616 | |
| (229) 333-0647 |
| Full Name | Bennett P Hogan |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 117 W Northside Dr, Valdosta, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205891397 | NPI | - | NPPES |
| 000906177A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 050024 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Suncrest Home Health | Adel, GA | Home health agency |
| South Georgia Medical Center | Valdosta, GA | Hospital |
| Sgmc Berrien Campus | Nashville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sgmc Physician Network Inc | 4082036843 | 101 |
| Apogee Medical Group Georgia | 4587676945 | 105 |
| Entity Name | Hospital Authority Of Valdosta And Lowndes County Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033160791 PECOS PAC ID: 1355334509 Enrollment ID: O20040405001313 |
| Entity Name | Bennett P Hogan Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134184864 PECOS PAC ID: 6608828637 Enrollment ID: O20050217000430 |
| Entity Name | Apogee Medical Group Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629025143 PECOS PAC ID: 4587676945 Enrollment ID: O20060629000214 |
| Entity Name | Sgmc Physician Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417597170 PECOS PAC ID: 4082036843 Enrollment ID: O20201015000629 |
| Entity Name | South Georgia Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144096553 PECOS PAC ID: 1052764677 Enrollment ID: O20240514000755 |
| Mailing Address | Practice Location Address |
|---|---|
| Bennett P Hogan, MD 117 W Northside Dr, Valdosta, GA 31602-1700 Ph: (229) 333-0616 | Bennett P Hogan, MD 117 W Northside Dr, Valdosta, GA 31602-1700 Ph: (229) 333-0616 |
Robert Daniel Bennett, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2412 N Oak St, Valdosta, GA 31602 Phone: 229-244-1400 Fax: 229-244-5512 | |
Dr. Jeri Lynn Sheffield, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3548b Northcrossing Cir, Valdosta, GA 31602 Phone: 229-249-9299 Fax: 229-249-9799 | |
Mrs. Haley Nix, NP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3322 Greystone Way, Valdosta, GA 31605 Phone: 229-242-0331 | |
Anthony Wayne Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3207 Country Club Rd, Valdosta, GA 31605 Phone: 229-242-8480 Fax: 229-242-0070 | |
Vera C Garcia, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4370 Kings Way Ste E, Valdosta, GA 31602 Phone: 229-247-7767 Fax: 229-247-7626 | |
Mr. Frederick H Fritzsche, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4280 N Valdosta Rd, Valdosta, GA 31602 Phone: 229-671-2019 Fax: 229-671-2010 |