| Matthew Thomas Hamrick, PA-C | |
|
3278 Mitchell Blvd Bldg 900, Moody Afb, GA 31699-5613 | |
| (229) 257-2778 | |
| Not Available |
| Full Name | Matthew Thomas Hamrick |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 3278 Mitchell Blvd Bldg 900, Moody Afb, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801391925 | NPI | - | NPPES |
| 1151145 | Other | USAF | |
| PA9116299 | Other | FL | FL DEPT OF MED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1151145 (Nebraska) | Primary |
| Entity Name | South Georgia Emergency Medicine Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386903649 PECOS PAC ID: 4880850775 Enrollment ID: O20120720000457 |
| Entity Name | Sgmc Affiliated Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114740362 PECOS PAC ID: 5496284028 Enrollment ID: O20250128002845 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Thomas Hamrick, PA-C 3278 Mitchell Blvd Bldg 900, Moody Afb, GA 31699-1500 Ph: (229) 257-2677 | Matthew Thomas Hamrick, PA-C 3278 Mitchell Blvd Bldg 900, Moody Afb, GA 31699-5613 Ph: (229) 257-2778 |
Jerel E Merida Jr., Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2778 |
Mrs. Cindy Catherine Rullo, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2778 |
Shawn Philip Knight, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-6144 |
Mrs. Jennifer Paccassi, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3280 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2778 |
Lashaun Lee Vetzel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-1459 |
Robert Niewoonder, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-292-3719 |
Javier Porras, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3278 Mitchell Blvd, Moody Afb, GA 31699 Phone: 229-257-2778 |