| Micah Henderson Lancaster, PA-C | |
|
1111 Glynco Pkwy, Building 1, Suite 20, Brunswick, GA 31525-7921 | |
| (912) 262-1801 | |
| (912) 264-6262 |
| Full Name | Micah Henderson Lancaster |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 1111 Glynco Pkwy, Brunswick, 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 |
|---|---|---|---|
| 1285917401 | NPI | - | NPPES |
| 006295 | Other | GA | GEORGIA LICENSE |
| 003116432 | Medicaid | GA | |
| 003116443 | Medicaid | GA |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Georgia Health System- Brunswick Campus | Brunswick, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia Dermatology And Skin Cancer Center, Llc | 7113980855 | 53 |
| Entity Name | Georgia Dermatology & Skin Cancer Center, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063460459 PECOS PAC ID: 7113980855 Enrollment ID: O20041104000512 |
| Mailing Address | Practice Location Address |
|---|---|
| Micah Henderson Lancaster, PA-C 2400 Bellevue Rd, Suite 21-a, Dublin, GA 31021-2885 Ph: (478) 275-7202 | Micah Henderson Lancaster, PA-C 1111 Glynco Pkwy, Building 1, Suite 20, Brunswick, GA 31525-7921 Ph: (912) 262-1801 |
Mrs. Chasity Daniel Geiger, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3008 E Park Ave, Brunswick, GA 31520 Phone: 912-265-2142 Fax: 912-265-0530 |
Kacey Stokes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3025 Shrine Rd, Suite 390, Brunswick, GA 31520 Phone: 912-466-7340 Fax: 912-466-7358 |
Mrs. Regina Schmidt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3217 4th St, Brunswick, GA 31520 Phone: 912-466-4200 Fax: 912-267-0991 |
Claire Branch Reyna, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-7000 |
Angela S Latham, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2705 Wildwood Dr, Brunswick, GA 31520 Phone: 912-264-6133 Fax: 912-267-1415 |
Ninoska M Gutierrez, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 Starling St Ste 506, Brunswick, GA 31520 Phone: 912-265-5125 |
Logan Harley Trapnell, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3025 Shrine Rd Ste 390, Brunswick, GA 31520 Phone: 912-466-7340 |