| Jon Mallory Mcrae Jr, MD | |
|
1518 Miluli Ave, Bainbridge, GA 39819-4866 | |
| (229) 248-8500 | |
| (229) 248-8600 |
| Full Name | Jon Mallory Mcrae Jr |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 1518 Miluli Ave, Bainbridge, 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 |
|---|---|---|---|
| 1700890274 | NPI | - | NPPES |
| 000911842B | Medicaid | GA | |
| 00911842A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 050218 (Georgia) | Primary |
| 174400000X | Specialist | 050218 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Bainbridge, GA | Home health agency |
| Archbold Home Health Services | Thomasville, GA | Home health agency |
| Integrity Hospice | Eastman, GA | Hospice |
| Memorial Hospital And Manor | Bainbridge, GA | Hospital |
| John D Archbold Memorial Hospital | Thomasville, GA | Hospital |
| Donalsonville Hospital Inc | Donalsonville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Privia Medical Group Of Georgia Llc | 4284951542 | 411 |
| Entity Name | Hospital Authority Of The City Of Bainbridge And Decatur County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053388256 PECOS PAC ID: 1658265137 Enrollment ID: O20040216000016 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Mallory Mcrae Jr, MD 1518 Miluli Ave, Bainbridge, GA 39819-4866 Ph: (229) 248-8500 | Jon Mallory Mcrae Jr, MD 1518 Miluli Ave, Bainbridge, GA 39819-4866 Ph: (229) 248-8500 |
James Sydney Cochran, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1504 E Evans St, Bainbridge, GA 39819 Phone: 229-246-6600 | |
Dr. Douglas L West, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1514 E Evans St, Bainbridge, GA 39819 Phone: 229-246-6090 Fax: 229-246-0290 | |
Gordon Chason Miller, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1506 E Evans St, Bainbridge, GA 39819 Phone: 229-243-0740 Fax: 229-243-7384 |