| Roberto Jafet Lopez Vega, MD | |
|
1900 Tebeau St, Waycross, GA 31501-6357 | |
| (201) 417-9656 | |
| Not Available |
| Full Name | Roberto Jafet Lopez Vega |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 16 Years |
| Location | 1900 Tebeau St, Waycross, 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 |
|---|---|---|---|
| 1891073482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 73605 (Georgia) | Primary |
| 207R00000X | Internal Medicine | 25MA09541600 (New Jersey) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System In Waycross | Waycross, GA | Hospital |
| Meadows Regional Medical Center | Vidalia, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cogent Healthcare Of Georgia Pc | 2961483607 | 231 |
| Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 662 |
| Southeastern Hospitalist Services Pc | 3476855420 | 264 |
| Entity Name | 24 On Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912956251 PECOS PAC ID: 5698688141 Enrollment ID: O20031216000444 |
| Entity Name | Mayo Clinic Health System In Waycross, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154745982 PECOS PAC ID: 0042124919 Enrollment ID: O20040308000639 |
| Entity Name | Cogent Healthcare Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
| Entity Name | Hospital Physician Services - Southeast Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
| Entity Name | Coffee County Hospitalist Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811435464 PECOS PAC ID: 1153696117 Enrollment ID: O20171002002498 |
| Mailing Address | Practice Location Address |
|---|---|
| Roberto Jafet Lopez Vega, MD Po Box 173, Waycross, GA 31502 Ph: (201) 417-9656 | Roberto Jafet Lopez Vega, MD 1900 Tebeau St, Waycross, GA 31501-6357 Ph: (201) 417-9656 |
Jules M Nehmetallah, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 913-338-6438 | |
Dr. James R. Kisselburg, M,D. Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 1900 Tebeau Street, Waycross, GA 31501 Phone: 912-338-6438 Fax: 912-338-6439 |