| Dr Stephen A Rubendall Jr, MD | |
|
259 Us Highway 19 North, Camilla, GA 31730-1410 | |
| (229) 336-1949 | |
| (229) 336-1436 |
| Full Name | Dr Stephen A Rubendall Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 259 Us Highway 19 North, Camilla, 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 |
|---|---|---|---|
| 1851345284 | NPI | - | NPPES |
| 25806 | Other | SC | STATE LICENSE |
| 467902058A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 057320 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Bainbridge, GA | Home health agency |
| Archbold Home Health Services | Thomasville, GA | Home health agency |
| Hospice Of Southwest Georgia | Thomasville, GA | Hospice |
| Integrity Hospice | Eastman, GA | Hospice |
| Mitchell County Hospital | Camilla, GA | Hospital |
| Grady General Hospital | Cairo, GA | Hospital |
| John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
| Phoebe Putney Memorial Hospital | Albany, GA | Hospital |
| Mitchell County Nursing Homes | Camilla, GA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Authority Of Mitchell County | 6002724598 | 19 |
| Entity Name | Hospital Authority Of Mitchell County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700830247 PECOS PAC ID: 6002724598 Enrollment ID: O20031117000138 |
| Entity Name | John D. Archbold Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194779702 PECOS PAC ID: 4981502622 Enrollment ID: O20031219000506 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen A Rubendall Jr, MD 259 Us Highway 19 North, Camilla, GA 31730-1410 Ph: (229) 336-1949 | Dr Stephen A Rubendall Jr, MD 259 Us Highway 19 North, Camilla, GA 31730-1410 Ph: (229) 336-1949 |
Lauren F Clemmons, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 259 Us Highway 19 N, Camilla, GA 31730 Phone: 229-336-1949 | |
Dr. Raymond J Otis Sr., M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 24 N Ellis St, Camilla, GA 31730 Phone: 229-336-7343 Fax: 229-336-7400 | |
Jason Henry Smith, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 259 Us Highway 19 N, Camilla, GA 31730 Phone: 229-336-1949 Fax: 229-336-1436 | |
Dr. Anozie A Ukaonu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 Us Highway 19 S, Camilla, GA 31730 Phone: 229-336-5208 Fax: 229-336-2091 |