| Mr William Stephen Hutcheson, PA-C | |
|
1908 Alice St, Waycross, GA 31501-6208 | |
| (912) 338-6010 | |
| (912) 287-2796 |
| Full Name | Mr William Stephen Hutcheson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 1908 Alice St, Waycross, 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 |
|---|---|---|---|
| 1629283023 | NPI | - | NPPES |
| 981425965B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4140 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Satilla Health | Waycross, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peachtree Immediate Care Fp, Llc | 3274559323 | 328 |
| Memorial Satilla Specialists, Llc | 5991074957 | 19 |
| Entity Name | Peachtree Immediate Care FP, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Entity Name | Memorial Satilla Specialists, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295266955 PECOS PAC ID: 5991074957 Enrollment ID: O20170706002072 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William Stephen Hutcheson, PA-C Po Box 173, Waycross, GA 31502-0173 Ph: (912) 283-8444 | Mr William Stephen Hutcheson, PA-C 1908 Alice St, Waycross, GA 31501-6208 Ph: (912) 338-6010 |
Tayler Hutto Allen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2100 Riverside Ave, Waycross, GA 31501 Phone: 912-490-7777 Fax: 912-490-7779 |
Josselynn Elizabeth Mallard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1706 Alice St, Waycross, GA 31501 Phone: 912-285-1140 Fax: 912-285-1125 |
Ricky O Tatum, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 306 Isabella St, Waycross, GA 31501 Phone: 912-285-9990 Fax: 912-338-8931 |
Kimberly Cecil, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1218 Alice St, Waycross, GA 31501 Phone: 912-590-0973 Fax: 912-590-0180 |
Laken Renee Tanner, MSPAP, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1900 Tebeau St, Waycross, GA 31501 Phone: 912-283-3030 |
Cullee Peavey Richardson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 711 Knight Ave, Waycross, GA 31501 Phone: 912-283-9423 Fax: 912-283-2946 |
John Franklin Jacobs, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 912-287-2744 Fax: 912-338-6538 |