| Deborah Elder Moffet, PA, DC | |
|
1208 Ocilla Rd, Douglas, GA 31533-2220 | |
| (912) 384-6276 | |
| (912) 389-1618 |
| Full Name | Deborah Elder Moffet |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 1208 Ocilla Rd, Douglas, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871504654 | NPI | - | NPPES |
| 286742308O | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 4691 (Georgia) | Primary |
| Entity Name | Peachtree Hospice of Georgia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255788436 PECOS PAC ID: 5496988156 Enrollment ID: O20160902000940 |
| Entity Name | Bethany Hospice and Palliative Care, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972709160 PECOS PAC ID: 1052409414 Enrollment ID: O20170428001358 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Elder Moffet, PA, DC 1121 Cation Dr, Douglas, GA 31533-7965 Ph: Not Available | Deborah Elder Moffet, PA, DC 1208 Ocilla Rd, Douglas, GA 31533-2220 Ph: (912) 384-6276 |
Karen Michelle Green, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-383-6966 Fax: 912-389-2108 |
Caroline Lott Douglas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 205 Shirley Ave, Douglas, GA 31533 Phone: 912-260-5400 Fax: 912-260-5177 |
Mrs. Kimberly Lott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Doctors Dr Ste G, Douglas, GA 31533 Phone: 912-384-6186 Fax: 912-384-6187 |
Miss Alexis Marie Mcneill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 312 Westside Dr, Douglas, GA 31533 Phone: 912-384-2200 Fax: 912-383-7992 |
Hallie S. Brigmond, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-1900 Fax: 912-389-2105 |
Mary Jon Roberson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Doctors Dr Ste I, Douglas, GA 31533 Phone: 912-383-6575 |
Amy Delaine Hodge, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 326 Shirley Ave, Douglas, GA 31533 Phone: 912-384-0322 Fax: 912-260-1086 |