| Mickey Dwight Stapp, DPM | |
|
150 Main St, Thomson, GA 30824-2662 | |
| (762) 994-0904 | |
| (762) 994-0906 |
| Full Name | Mickey Dwight Stapp |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 34 Years |
| Location | 150 Main St, Thomson, 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 |
|---|---|---|---|
| 1023114238 | NPI | - | NPPES |
| GDP728 | Other | SC | SOUTH CAROLINA MEDICAID |
| 2700036 | Other | GA | UNITED HEALTHCARE |
| 000660635H | Medicaid | GA | |
| 555655 | Other | GA | BCBS OF GEORGIA |
| GPD728 | Medicaid | SC | |
| 000660635R | Medicaid | GA | |
| 000660635J | Medicaid | GA | |
| 575733 | Other | GA | AETNA HMO |
| 480032189 | Other | GA | RAILROAD MEDICARE |
| 5106049 | Other | GA | AETNA PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD000728 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Hospital | Augusta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upperline Healthcare Pc | 4385900653 | 135 |
| Village Podiatry Group Ii Llc | 7719218437 | 61 |
| Provider Name | Augusta Foot & Ankle, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619185352 PECOS PAC ID: 4981505658 Enrollment ID: O20040115000923 |
| Provider Name | Village Podiatry Group Ii Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427540699 PECOS PAC ID: 7719218437 Enrollment ID: O20191010003075 |
| Provider Name | Upperline Healthcare Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538686498 PECOS PAC ID: 4385900653 Enrollment ID: O20211101002967 |
| Mailing Address | Practice Location Address |
|---|---|
| Mickey Dwight Stapp, DPM 150 Main St, Thomson, GA 30824-2662 Ph: (762) 994-0904 | Mickey Dwight Stapp, DPM 150 Main St, Thomson, GA 30824-2662 Ph: (762) 994-0904 |
Dr. Mark T Messenger, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1043 Washington Rd, Thomson, GA 30824 Phone: 706-597-0102 Fax: 706-597-1998 | |
Dr. George S Havrilla, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 544 W Hill St, Thomson, GA 30824 Phone: 706-595-8787 Fax: 706-595-8757 | |
Jasmine J Strozier, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 150 Main St, Thomson, GA 30824 Phone: 762-994-0904 Fax: 762-994-0906 | |
Thomson Podiatry Associates, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1043 Washington Rd, Thomson, GA 30824 Phone: 706-597-0102 Fax: 706-597-1998 | |
Mcduffie Podiatry And Wound Care, Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 544 W Hill St, Thomson, GA 30824 Phone: 706-595-8787 Fax: 706-595-8757 |