| Ms Andrea M Deloach, FNP-C | |
|
711 Knight Ave, Waycross, GA 31501-1943 | |
| (912) 283-9423 | |
| (912) 283-2946 |
| Full Name | Ms Andrea M Deloach |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 711 Knight Ave, Waycross, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114007044 | NPI | - | NPPES |
| 00560381B | Medicaid | GA | |
| 1114007044 | Other | GA | MEDICARE NPI |
| CG6045 | Other | GA | RAILROAD MEDICARE GROUP ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN072616 (Georgia) | Primary |
| 363LW0102X | Nurse Practitioner - Women's Health | RN072616 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System In Waycross | Waycross, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Internal Medicine Associates Of Waycross P.c. | 0749276004 | 4 |
| Entity Name | Internal Medicine Associates Of Waycross P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144420530 PECOS PAC ID: 0749276004 Enrollment ID: O20040422000277 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Andrea M Deloach, FNP-C 711 Knight Ave, Waycross, GA 31501-1943 Ph: (912) 283-9423 | Ms Andrea M Deloach, FNP-C 711 Knight Ave, Waycross, GA 31501-1943 Ph: (912) 283-9423 |
Barbara D Pittman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615a Pendleton St, Waycross, GA 31501 Phone: 912-548-0710 Fax: 912-548-0071 | |
Robert Scott Jacobs, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403a Lister St, Waycross, GA 31501 Phone: 912-283-4422 Fax: 912-283-4866 | |
Mrs. Dana Marie Morgan, FNP-BC, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1610 Alice St, Waycross, GA 31501 Phone: 912-584-3263 Fax: 912-809-2296 | |
Mr. James Aaron Houser, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1206 Alice St, Waycross, GA 31501 Phone: 912-285-1140 Fax: 912-285-1125 | |
Dawn Lynn Driggers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 1/2 Alice St, Waycross, GA 31501 Phone: 912-614-3768 | |
Kala Hodges, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 409 Uvalda St, Waycross, GA 31501 Phone: 229-391-3500 |