| Joel Hernandez, PA-C | |
|
110 Shirley Ave, Douglas, GA 31533-2324 | |
| (912) 383-9789 | |
| Not Available |
| Full Name | Joel Hernandez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 110 Shirley Ave, 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 |
|---|---|---|---|
| 1902202468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 7412 (Georgia) | Primary |
| Entity Name | Southeastern Orthopedics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265536437 PECOS PAC ID: 5496742793 Enrollment ID: O20040428001139 |
| Mailing Address | Practice Location Address |
|---|---|
| Joel Hernandez, PA-C 110 Shirley Ave, Douglas, GA 31533-2324 Ph: (912) 383-9789 | Joel Hernandez, PA-C 110 Shirley Ave, Douglas, GA 31533-2324 Ph: (912) 383-9789 |
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 |