| Wynne Kendra Lott, PA-C | |
|
4 S Tallahassee St Ste 4, Hazlehurst, GA 31539-6136 | |
| (912) 699-6570 | |
| (912) 699-6572 |
| Full Name | Wynne Kendra Lott |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 4 S Tallahassee St Ste 4, Hazlehurst, 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 |
|---|---|---|---|
| 1811042815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 003905 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ahmed Elsharkawi Md Llc | 4385781467 | 7 |
| Entity Name | Harrison C Carter MD |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619174091 PECOS PAC ID: 6709871635 Enrollment ID: O20040419001226 |
| Entity Name | Hospital Authority of Jeff Davis County Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912902263 PECOS PAC ID: 4981692472 Enrollment ID: O20040504000404 |
| Entity Name | Wayne Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982828943 PECOS PAC ID: 6103926241 Enrollment ID: O20070703000148 |
| Entity Name | Ahmed Elsharkawi MD LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184856494 PECOS PAC ID: 4385781467 Enrollment ID: O20091021000802 |
| Entity Name | Montgomery Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861773764 PECOS PAC ID: 5395918387 Enrollment ID: O20111108000598 |
| Entity Name | Monogram Health Professional Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255930228 PECOS PAC ID: 4880004183 Enrollment ID: O20210505003249 |
| Mailing Address | Practice Location Address |
|---|---|
| Wynne Kendra Lott, PA-C 4 S Tallahassee St Ste 4, Hazlehurst, GA 31539-6136 Ph: (912) 699-6570 | Wynne Kendra Lott, PA-C 4 S Tallahassee St Ste 4, Hazlehurst, GA 31539-6136 Ph: (912) 699-6570 |