| Charles W Sanderlin Jr, MD | |
|
3527 N Valdosta Rd, Valdosta, GA 31602-1068 | |
| (229) 247-2290 | |
| (229) 244-2626 |
| Full Name | Charles W Sanderlin Jr |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 28 Years |
| Location | 3527 N Valdosta Rd, Valdosta, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083618052 | NPI | - | NPPES |
| 265002900 | Medicaid | FL | |
| GRP1215 | Other | GA | MEDICARE PTAN |
| 00954445A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 051543 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Georgia Medical Center | Valdosta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valdosta Orthopedic Associates Pc | 8325938491 | 19 |
| Entity Name | Valdosta Orthopedic Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053457457 PECOS PAC ID: 8325938491 Enrollment ID: O20040319001326 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles W Sanderlin Jr, MD 3527 N Valdosta Rd, Valdosta, GA 31602-1068 Ph: (229) 247-2290 | Charles W Sanderlin Jr, MD 3527 N Valdosta Rd, Valdosta, GA 31602-1068 Ph: (229) 247-2290 |
Eric C. Stiefel, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3527 N Valdosta Rd, Valdosta, GA 31602 Phone: 229-247-2290 Fax: 229-247-5926 | |
Dr. Kevin D Keith, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2417 N Patterson St, Valdosta, GA 31602 Phone: 229-433-1861 | |
Dr. Paul Dolphous Lane Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3527 N Valdosta Rd, Valdosta, GA 31602 Phone: 229-247-2290 Fax: 229-247-0091 | |
James R. Goss, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3527 N Valdosta Rd, Valdosta, GA 31602 Phone: 229-247-2290 Fax: 229-244-2626 | |
John P Kendrick, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3527 N Valdosta Rd, Valdosta, GA 31602 Phone: 229-247-2290 Fax: 229-244-2626 | |
Dr. Raymond Derry Crosby, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2310 N Patterson St, Bldg D, Valdosta, GA 31602 Phone: 229-247-2482 Fax: 229-247-0827 |