| Stephen Chad Skidmore, DO | |
|
1514 Vernon Rd, Lagrange, GA 30240 | |
| (706) 882-1411 | |
| Not Available |
| Full Name | Stephen Chad Skidmore |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 12 Years |
| Location | 1514 Vernon Rd, Lagrange, 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 |
|---|---|---|---|
| 1275929663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 80578 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar West Georgia Medical Center | Lagrange, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lagrange Emergency Physicians, Llc | 0840207072 | 18 |
| Entity Name | Lagrange Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760437560 PECOS PAC ID: 0840207072 Enrollment ID: O20060314000271 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Chad Skidmore, DO 115 Springwater Shrs, Newnan, GA 30265-3819 Ph: (937) 430-9026 | Stephen Chad Skidmore, DO 1514 Vernon Rd, Lagrange, GA 30240 Ph: (706) 882-1411 |
Anthony Marchetti, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Road, Lagrange, GA 30240 Phone: 706-845-3706 | |
Ahmed Moussa, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-812-2369 | |
James Eric Ragan Ii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Road, Lagrange, GA 30240 Phone: 706-845-3706 | |
Dr. Van Millin, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 Smith St, Lagrange, GA 30240 Phone: 706-882-8831 Fax: 706-812-4091 | |
Mrs. Gail Ann Knight, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-845-3905 Fax: 770-999-2424 | |
Chima Onwukeme, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-845-3706 |