| Jordan Martinec, | |
|
2169 W Point Rd, Lagrange, GA 30240-4002 | |
| (706) 668-5140 | |
| (706) 668-5142 |
| Full Name | Jordan Martinec |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 2169 W Point Rd, Lagrange, 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 |
|---|---|---|---|
| 1679950729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urgencare, Llc | 7113250325 | 18 |
| Urgencare, Llc | 7113250325 | 18 |
| Livwell Health Llc | 0648643593 | 2 |
| Entity Name | Lagrange Emergency Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760437560 PECOS PAC ID: 0840207072 Enrollment ID: O20060314000271 |
| Entity Name | Emergency Group of Columbus LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316458227 PECOS PAC ID: 2668735515 Enrollment ID: O20180406001191 |
| Entity Name | Heritage Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003321969 PECOS PAC ID: 6305100850 Enrollment ID: O20180509000280 |
| Entity Name | Urgencare, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598223844 PECOS PAC ID: 7113250325 Enrollment ID: O20190603002234 |
| Entity Name | Livwell Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689383671 PECOS PAC ID: 0648643593 Enrollment ID: O20230411000708 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Martinec, 2169 W Point Rd, Lagrange, GA 30240-4002 Ph: (706) 668-5140 | Jordan Martinec, 2169 W Point Rd, Lagrange, GA 30240-4002 Ph: (706) 668-5140 |
Alex K Harris, PHD, PA-S Physician Assistant Medicare: Medicare Enrolled Practice Location: 1551 Doctors Dr, Lagrange, GA 30240 Phone: 706-884-2641 Fax: 706-884-2353 |
Samantha Denise Pollock, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1602 Vernon Rd Ste 300, Lagrange, GA 30240 Phone: 706-803-7510 |
Tina Le Tran, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 413 Lakeview Way, Lagrange, GA 30241 Phone: 404-647-3051 |
Mrs. Amanda Howington Ward, PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 1605 Whitesville St, Lagrange, GA 30240 Phone: 706-882-5119 Fax: 706-882-0270 |
Stantafferta Mcphee Sparrow, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1075 Lafayette Pkwy Ste 200, Lagrange, GA 30241 Phone: 770-740-1860 Fax: 770-516-8768 |
Brandi B Daniel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1551 Doctors Drive, Lagrange, GA 30240 Phone: 706-803-7450 Fax: 770-999-2818 |
Joseph Steiner, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411 |