| Jonell B Poe, PA | |
|
1120 15th Street, Augusta, GA 30912 | |
| (706) 721-2198 | |
| (706) 721-5748 |
| Full Name | Jonell B Poe |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 1120 15th Street, Augusta, 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 |
|---|---|---|---|
| 1417057977 | NPI | - | NPPES |
| 100001728A | Medicaid | GA | |
| 0112PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3209 (Georgia) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 003209 (Georgia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Augusta University | 0840188090 | 9 |
| Entity Name | Au Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188 |
| Entity Name | Augusta University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760559124 PECOS PAC ID: 0840188090 Enrollment ID: O20040309000453 |
| Entity Name | Au Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437135902 PECOS PAC ID: 7618866229 Enrollment ID: O20040312000081 |
| Entity Name | Wellstar Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonell B Poe, PA 1499 Walton Way, Ste 1400, Augusta, GA 30901-2650 Ph: (706) 828-6410 | Jonell B Poe, PA 1120 15th Street, Augusta, GA 30912 Ph: (706) 721-2198 |
Rachel Mccall Dawkins, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: Doctors Hospital Of Augusta, 3651 Wheeler Rd., Augusta, GA 30909 Phone: 706-651-6080 |
Robert G Stowers, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3291 Fax: 706-721-1459 |
Mrs. Melanie Grace Bowen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2922 Professional Pkwy, Augusta, GA 30907 Phone: 706-556-2767 |
Andrea N Sarata, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3675 J Dewey Gray Cir Ste 300, Augusta, GA 30909 Phone: 706-863-9595 Fax: 706-868-8375 |
Amanda Marie Tyra, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St # Ad-2226, Augusta, GA 30912 Phone: 706-446-4887 Fax: 706-723-0382 |
Ms. Catherine Heather Hanneman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1303 Dantignac St, Augusta, GA 30901 Phone: 706-821-2944 |
Mr. Derek Aaron Lafont, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3696 Wheeler Rd, Augusta, GA 30909 Phone: 706-736-1830 Fax: 706-650-7553 |