| Colleen Marie Kerrigan, PA | |
|
303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474-8854 | |
| (770) 710-6712 | |
| Not Available |
| Full Name | Colleen Marie Kerrigan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 303 Harris Industrial Blvd Ste 5, Vidalia, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679137038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9282 (Georgia) | Primary |
| 363AM0700X | Physician Assistant - Medical | (NU) | Secondary |
| Entity Name | Carrollton Emergency Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790724672 PECOS PAC ID: 7416860010 Enrollment ID: O20040122001028 |
| Entity Name | Montgomery Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861773764 PECOS PAC ID: 5395918387 Enrollment ID: O20111108000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Marie Kerrigan, PA 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Colleen Marie Kerrigan, PA 303 Harris Industrial Blvd Ste 5, Vidalia, GA 30474-8854 Ph: (770) 710-6712 |
Mr. James R Payne, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-454-7012 Fax: 866-871-8565 |
Emily Paige Berryhill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555 |
Hunter E Lynn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3301 E 1st St # A, Vidalia, GA 30474 Phone: 912-537-4411 |
Mr. Bartlett Emory Davis, PAC ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1707 Meadows Ln, Suite H, Vidalia, GA 30474 Phone: 912-538-0040 Fax: 912-538-8133 |
Mr. Alex Pierce, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1013 E 1st St, Vidalia, GA 30474 Phone: 912-538-7702 |
Dianne S Mixon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1608 Meadows Ln Ste 1, Vidalia, GA 30474 Phone: 912-537-9488 Fax: 912-537-8951 |
Robert Lee Arnold, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Maple Dr, Vidalia, GA 30474 Phone: 912-537-9851 Fax: 912-537-9843 |