| Dr Thomas M Lott Jr, MD | |
|
2501 N Patterson St, Valdosta, GA 31602-1735 | |
| (229) 433-1000 | |
| (706) 596-6723 |
| Full Name | Dr Thomas M Lott Jr |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 36 Years |
| Location | 2501 N Patterson St, 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 |
|---|---|---|---|
| 1255312146 | NPI | - | NPPES |
| 000702666A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 033388 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Georgia Medical Center | Valdosta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Of Valdosta Llc | 5294914198 | 6 |
| Entity Name | Radiology Associates Of Valdosta Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134429582 PECOS PAC ID: 5294914198 Enrollment ID: O20110125000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas M Lott Jr, MD Po Box 1524, Columbus, GA 31902-1524 Ph: (800) 841-4236 | Dr Thomas M Lott Jr, MD 2501 N Patterson St, Valdosta, GA 31602-1735 Ph: (229) 433-1000 |
Dr. Robert Harold Wise Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2704 N Oak St, Building E, Valdosta, GA 31602 Phone: 229-333-9729 Fax: 229-333-0832 | |
Dr. William Michael Querin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2704 N Oak St, Building E, Valdosta, GA 31602 Phone: 229-333-9729 Fax: 229-333-0832 | |
Dr. Wesley B Roney, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-443-1000 Fax: 706-596-6723 | |
Dr. Michael R Millner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4888 Fax: 229-559-8178 | |
Dr. Richard Glynn Cooper, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2704 N Oak St, Building E, Valdosta, GA 31602 Phone: 229-333-9729 Fax: 229-333-0832 | |
John William Devine, MD Radiology Medicare: Medicare Enrolled Practice Location: 2501 N Patterson St, Valdosta, GA 31602 Phone: 229-259-4602 Fax: 229-249-5063 |