Prof John Mark Lidell, MMSC, PA-C in Mcdonough, GA

Prof John Mark Lidell, MMSC, PA-C is a medicare enrolled "Physician Assistant" in Mcdonough, Georgia. He graduated from nursing school in 1996 and has 28 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Wellstar Medical Group, Llc and his current practice location is 101 Regency Park Dr Ste 110, Mcdonough, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 996-0126.

Prof John Mark Lidell is licensed to practice in Georgia (license number 002952) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962487538.

Contact Information

	Prof John Mark Lidell, MMSC, PA-C
	101 Regency Park Dr Ste 110, Mcdonough, GA 30253-7076
	(404) 996-0126
	(678) 432-2626

Map and Direction

Provider's Profile

Full Name	Prof John Mark Lidell
Gender	Male
Speciality	Physician Assistant
Experience	28 Years
Location	101 Regency Park Dr Ste 110, Mcdonough, 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.

Medical Education and Training:

Prof John Mark Lidell graduated from nursing school in 1996

NPI Data:

NPI Number: 1962487538
Provider Enumeration Date: 12/07/2005
Last Update Date: 10/27/2021

Medicare PECOS Information:

PECOS PAC ID: 4688745615
Enrollment ID: I20080619000285

Medical Identifiers

Medical identifiers for Prof John Mark Lidell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962487538	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	002952 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellstar Cobb Hospital	Austell, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wellstar Medical Group, Llc	6709065402	1839

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prof John Mark Lidell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Prof John Mark Lidell, MMSC, PA-C 3576 Highway 138 Se, Stockbridge, GA 30281-7909 Ph: (770) 474-7448	Prof John Mark Lidell, MMSC, PA-C 101 Regency Park Dr Ste 110, Mcdonough, GA 30253-7076 Ph: (404) 996-0126

Reviews and Comments

Physician Assistant Nurses in Mcdonough, GA

Lisa Neff Butters, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4303 Jodeco Rd, Mcdonough, GA 30253 Phone: 770-898-7840
John Augustave Carlson, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 259 Jonesboro Rd, Mcdonough, GA 30253 Phone: 770-957-8666 Fax: 770-957-0375
Mrs. Joy Stephanie Daise, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 141 Henry Pkwy, Mcdonough, GA 30253 Phone: 770-288-7692 Fax: 770-288-7690
Swaraj Suhas Hublikar, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2050 Jonesboro Rd Ste A, Mcdonough, GA 30253 Phone: 678-935-0090 Fax: 678-935-0095
Allan B Imes Jr., P.A. Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1631 Highway 20 W, Mcdonough, GA 30253 Phone: 770-288-2822 Fax: 770-692-8177
Robert T Sikes, PA-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1631 Highway 20 W, Mcdonough, GA 30253 Phone: 770-288-2822 Fax: 770-692-8177
Dr. Esraa F Dhabaan, M.D Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 259 Jonesboro Rd, Mcdonough, GA 30253 Phone: 770-957-8666 Fax: 770-957-0375

Prof John Mark Lidell, MMSC, PA-C - Medicare Physician Assistant in Mcdonough, GA