| John Michael Rutledge, PA | |
|
990 Loganville Hwy Ste 102, Bethlehem, GA 30620-2175 | |
| (770) 848-6190 | |
| Not Available |
| Full Name | John Michael Rutledge |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 990 Loganville Hwy Ste 102, Bethlehem, 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 |
|---|---|---|---|
| 1003403353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA2259 (Maine) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 13313 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeast Georgia Medical Center Barrow | Winder, GA | Hospital |
| Northeast Georgia Medical Center, Inc | Gainesville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Georgia Physicians Group Inc | 6901898386 | 884 |
| Entity Name | Northeast Georgia Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
| Mailing Address | Practice Location Address |
|---|---|
| John Michael Rutledge, PA Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | John Michael Rutledge, PA 990 Loganville Hwy Ste 102, Bethlehem, GA 30620-2175 Ph: (770) 848-6190 |
Mr. Chadrick Lamar Richardson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 235 Alexander Ln, Bethlehem, GA 30620 Phone: 229-854-9056 |
Mr. Horace Michael Delisser Jr., PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 426 Exchange Blvd Ste 600, Bethlehem, GA 30620 Phone: 770-848-6190 |