| Dr Thomas R Mann, MDPC | |
|
118 Norman Dorminy Drive, Fitzgerald, GA 31750 | |
| (229) 424-0134 | |
| (229) 424-9383 |
| Full Name | Dr Thomas R Mann |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 34 Years |
| Location | 118 Norman Dorminy Drive, Fitzgerald, 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 |
|---|---|---|---|
| 1740370691 | NPI | - | NPPES |
| 000617251A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | GA37607 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Tifton, GA | Home health agency |
| Georgia Home Health Services | Valdosta, GA | Home health agency |
| Dorminy Medical Center | Fitzgerald, GA | Hospital |
| Tift Regional Medical Center | Tifton, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dmc Physician Group Llc | 8628296845 | 20 |
| Select Rehabilitation Llc | 9032020490 | 1538 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Entity Name | Dmc Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124430020 PECOS PAC ID: 8628296845 Enrollment ID: O20140902000773 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas R Mann, MDPC 118 Norman Dorminy Dr, Fitzgerald, GA 31750-8858 Ph: (229) 423-9561 | Dr Thomas R Mann, MDPC 118 Norman Dorminy Drive, Fitzgerald, GA 31750 Ph: (229) 424-0134 |
Derrick W Taylor, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 110 Norman Dorminy Dr, Suite B, Fitzgerald, GA 31750 Phone: 229-423-2058 Fax: 229-423-0197 |