| Dr S Diane Rickert, MD | |
|
117 Kite Rd, Swainsboro, GA 30401-3231 | |
| (478) 289-1100 | |
| Not Available |
| Full Name | Dr S Diane Rickert |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 117 Kite Rd, Swainsboro, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316255854 | NPI | - | NPPES |
| Entity Name | Great Lakes Physician Practice Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730599176 PECOS PAC ID: 6709007701 Enrollment ID: O20141016000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr S Diane Rickert, MD 8569 Bradleys Landing St, Orlando, FL 32827-6909 Ph: (315) 480-4241 | Dr S Diane Rickert, MD 117 Kite Rd, Swainsboro, GA 30401-3231 Ph: (478) 289-1100 |
Dr. Robert Jay Wagner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 117 Kite Rd, Swainsboro, GA 30401 Phone: 478-289-1100 Fax: 478-289-1300 | |
Gregory Max Pyne, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 117 Kite Rd, Swainsboro, GA 30401 Phone: 478-289-1349 Fax: 478-289-1300 | |
Bobby Lee Derrick, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 117 Kite Rd, Swainsboro, GA 30401 Phone: 478-289-1368 Fax: 478-289-1300 | |
Joseph Obebe, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 Kite Rd, Swainsboro, GA 30401 Phone: 478-289-1100 | |
Eric G. Fogam, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 117 Kite Rd, Swainsboro, GA 30401 Phone: 478-289-1349 Fax: 478-289-1300 | |
Dr. Harvey Robert Langee Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 Kite Rd, Swainsboro, GA 30401 Phone: 478-289-1100 Fax: 478-289-1300 |