| Lucian Clement Moseley, MSN, FNP-C | |
|
150 E Peacock St Ste A, Cochran, GA 31014-7847 | |
| (478) 271-3200 | |
| Not Available |
| Full Name | Lucian Clement Moseley |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 150 E Peacock St Ste A, Cochran, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902504996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN278741 (Georgia) | Primary |
| 163W00000X | Registered Nurse | RN278741 (Georgia) | Secondary |
| Entity Name | Heart Of Georgia Primary Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780244301 PECOS PAC ID: 3678809167 Enrollment ID: O20190722001169 |
| Mailing Address | Practice Location Address |
|---|---|
| Lucian Clement Moseley, MSN, FNP-C 150 E Peacock St Ste A, Cochran, GA 31014-7847 Ph: (478) 271-3200 | Lucian Clement Moseley, MSN, FNP-C 150 E Peacock St Ste A, Cochran, GA 31014-7847 Ph: (478) 271-3200 |
Debbie Martin, RNC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 152 N. 8th Street, Cochran, GA 31014 Phone: 478-934-6590 Fax: 478-934-8729 | |
Mrs. Tara Thompson Moore, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 426 Ga Highway 26 E, Cochran, GA 31014 Phone: 478-934-2874 Fax: 478-934-2876 | |
Tonya C Beck, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 311 Old Milledgeville Rd, Cochran, GA 31014 Phone: 478-951-6008 | |
Regina Phillips Wiley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 136 W Dykes St, Cochran, GA 31014 Phone: 478-271-0200 Fax: 478-934-8887 | |
Barbara Patricia Orange, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 148 E Peacock St, Cochran, GA 31014 Phone: 478-934-4988 Fax: 478-934-4989 | |
Elizabeth Hortman, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 Lewis Graddy Rd, Cochran, GA 31014 Phone: 478-308-9430 | |
Gwendolyn J Carr, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 136 W Dykes St, Cochran, GA 31014 Phone: 478-934-8801 Fax: 478-934-8887 |