Dr Ronald S Reagin Sr, DPM is a
Podiatrist based in Baxley, Georgia. Dr Ronald S Reagin Sr is licensed to practice in Georgia (license number 000613) and his current practice location is
656 A-b S Main St, Baxley, Georgia. He can be reached at his office (for appointments etc.) via phone at
(912) 367-5281.
NPI number for Dr Ronald S Reagin Sr is 1104801265 and his current mailing address is Po Box 708, 656 A-b S Main St, Baxley, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104801265.
Healthcare Provider's Profile
| Full Name | Dr Ronald S Reagin Sr |
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| Gender | Male |
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| Speciality | Podiatrist |
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| Location | 656 A-b S Main St, Baxley, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104801265
- Provider Enumeration Date: 12/13/2005
- Last Update Date: 10/16/2007
Medical Identifiers
Medical identifiers for Dr Ronald S Reagin Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104801265 | NPI | - | NPPES |
| 48SCBCS | Other | GA | MEDICARE ID TYPE PODIATRY |
| 000415346A | Medicaid | GA | |
| 480007952 | Other | GA | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 000613 (Georgia) | Primary |
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. Dr Ronald S Reagin Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ronald S Reagin Sr, DPM
Po Box 708, 656 A-b S Main St,
Baxley, GA 31515-0708
Ph: (912) 367-5281 | Dr Ronald S Reagin Sr, DPM
656 A-b S Main St,
Baxley, GA 31515
Ph: (912) 367-5281 |
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