| Dr Lydia Kaoutzani, MD | |
|
15 John Maddox Dr Nw, Rome, GA 30165-1413 | |
| (706) 368-8550 | |
| (706) 236-7473 |
| Full Name | Dr Lydia Kaoutzani |
|---|---|
| Gender | Female |
| Speciality | Neurosurgery |
| Experience | 10 Years |
| Location | 15 John Maddox Dr Nw, Rome, 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 |
|---|---|---|---|
| 1508387499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 103234 (Georgia) | Primary |
| 208600000X | Surgery | 272276 (Massachusetts) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Au Medical Center | Augusta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellstar Medical Group Llc | 6709065402 | 3073 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lydia Kaoutzani, MD Po Box 12938, C/o Clinic Management, Calhoun, GA 30703 Ph: (706) 602-7800 | Dr Lydia Kaoutzani, MD 15 John Maddox Dr Nw, Rome, GA 30165-1413 Ph: (706) 368-8550 |
Daniel Barnes Webb, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 15 John Maddox Dr Nw, Rome, GA 30165 Phone: 706-368-8550 Fax: 706-236-7473 | |
Wittstatt Alexandra Whitaker-lea, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 15 John Maddox Dr Nw, Rome, GA 30165 Phone: 706-368-8550 Fax: 706-236-7473 | |
Jason Franklin Harrison, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 15 John Maddox Dr Nw, Rome, GA 30165 Phone: 706-368-8550 Fax: 706-236-7473 | |
John Alfred Cowan Jr., M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 15 John Maddox Dr Nw, Rome, GA 30165 Phone: 706-368-8550 Fax: 706-236-7473 | |
Dennis Mark Murphy, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 909 N 5th Ave Ne, Rome, GA 30165 Phone: 706-291-2145 Fax: 706-234-5601 |