Lauren M Dubberly, PA is a medicare enrolled "Physician Assistant" in Baxley, Georgia. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Chronic Disease Management Of Georgia Llc and her current practice location is
948 S Main St, Baxley, Georgia. You can reach out to her office (for appointments etc.) via phone at
(502) 663-3326.
Lauren M Dubberly is licensed to practice in Georgia (license number 007777) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215204375.
Provider's Profile
| Full Name | Lauren M Dubberly |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 15 Years |
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| Location | 948 S Main St, Baxley, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lauren M Dubberly graduated from nursing school in 2011
NPI Data:
- NPI Number: 1215204375
- Provider Enumeration Date: 11/17/2011
- Last Update Date: 12/14/2015
Medicare PECOS Information:
- PECOS PAC ID: 9335313634
- Enrollment ID: I20160108001649
Medical Identifiers
Medical identifiers for Lauren M Dubberly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215204375 | NPI | - | NPPES |
| 201125230 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 10001333A (Indiana) | Secondary |
| 363A00000X | Physician Assistant | 007777 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Chronic Disease Management Of Georgia Llc | 7618306721 | 72 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lauren M Dubberly is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lauren M Dubberly, PA
948 S Main St,
Baxley, GA 31513-0138
Ph: (502) 663-3326 | Lauren M Dubberly, PA
948 S Main St,
Baxley, GA 31513-0138
Ph: (502) 663-3326 |
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