| Patrina Lockette, MD | |
|
354 E. Washington Ave., Ashburn, GA 31714-5222 | |
| (229) 567-3361 | |
| (229) 567-4083 |
| Full Name | Patrina Lockette |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 354 E. Washington Ave., Ashburn, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508899907 | NPI | - | NPPES |
| 000876686F | Medicaid | GA | |
| 000876686G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 048855 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intrepid Usa Healthcare Services | Albany, GA | Home health agency |
| Phoebe Home Health | Albany, GA | Home health agency |
| Amedisys Home Health Of Macon | Macon, GA | Home health agency |
| Phoebe Putney Memorial Hospital | Albany, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoebe Physician Group Inc | 8426112350 | 375 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrina Lockette, MD 807 S. Isabella St., Po Box 545, Sylvester, GA 31791-0545 Ph: (229) 777-4514 | Patrina Lockette, MD 354 E. Washington Ave., Ashburn, GA 31714-5222 Ph: (229) 567-3361 |
John W. Desimone, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 611 E Washington Ave, Ashburn, GA 31714 Phone: 229-567-3407 | |
Earl A Lorenzen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 354 E Washington Ave, Ashburn, GA 31714 Phone: 229-567-3361 |