| Caitlyn Russell, | |
|
575 Furys Ferry Rd, Martinez, GA 30907-9059 | |
| (706) 691-7079 | |
| (706) 364-0416 |
| Full Name | Caitlyn Russell |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 575 Furys Ferry Rd, Martinez, 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 |
|---|---|---|---|
| 1639700925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9112639 (Florida) | Secondary |
| 363A00000X | Physician Assistant | 9732 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Joseph M Still Burn Centers, Inc | 7618963638 | 56 |
| Savannah River Dermatology Llc | 5597824789 | 7 |
| Mailing Address | Practice Location Address |
|---|---|
| Caitlyn Russell, 575 Furys Ferry Rd, Martinez, GA 30907-9059 Ph: (706) 922-6179 | Caitlyn Russell, 575 Furys Ferry Rd, Martinez, GA 30907-9059 Ph: (706) 691-7079 |
Stephanie K Fennema, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4106 Columbia Road, Suite 103, Martinez, GA 30907 Phone: 706-863-1440 Fax: 706-863-5418 | |
Mrs. Kimberly Nicole Edwards Mclean, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 516 Rocky Ridge Dr, Martinez, GA 30907 Phone: 912-381-6643 | |
Alexandra Jordan Andrade, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4437 Whisperwood Dr, Martinez, GA 30907 Phone: 706-836-3521 | |
Elizabeth Forbes, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4485 Columbia Rd, Martinez, GA 30907 Phone: 706-855-1520 Fax: 706-855-0433 | |
Amielle Lydia Smith, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4106 Columbia Rd Ste 103, Martinez, GA 30907 Phone: 706-863-1440 Fax: 706-863-5418 |