Mayo Clinic Health System In Waycross, Inc. - Medicare Primary Care in Waycross, GA

  1. Home
  2. Primary Care Clinics
  3. GA
  4. Waycross
Mayo Clinic Health System In Waycross, Inc. is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Waycross, Georgia. The current practice location for Mayo Clinic Health System In Waycross, Inc. is 1900 Tebeau St, Waycross, Georgia. For appointments, you can reach them via phone at (912) 283-3030. The mailing address for Mayo Clinic Health System In Waycross, Inc. is 1900 Tebeau St, Waycross, Georgia and phone number is (912) 283-3030.

Mayo Clinic Health System In Waycross, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1154745982. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (912) 283-3030.

Contact Information

Mayo Clinic Health System In Waycross, Inc.
1900 Tebeau St
Waycross
GA 31501-6357
(912) 283-3030
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameMayo Clinic Health System In Waycross, Inc.
SpecialityClinic/Center
Location1900 Tebeau St, Waycross, Georgia
Authorized Official Name and PositionGeorge Hoffman (CFO)
Authorized Official Contact9122874213
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mayo Clinic Health System In Waycross, Inc.
1900 Tebeau St
Waycross
GA 31501-6357

Ph: (912) 283-3030		Mayo Clinic Health System In Waycross, Inc.
1900 Tebeau St
Waycross
GA 31501-6357

Ph: (912) 283-3030

NPI Details:

NPI Number1154745982
Provider Enumeration Date02/14/2014
Last Update Date08/15/2016

Medicare PECOS Information:

Medicare PECOS PAC ID0042124919
Medicare Enrollment IDO20040308000639

Medical Identifiers

Medical identifiers for Mayo Clinic Health System In Waycross, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154745982NPI-NPPES
CJ0931OtherRAILROAD PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mayo Clinic Health System In Waycross, Inc. acts as a billing entity for following providers:
Provider NameStephen R Adcock
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1831395052
PECOS PAC ID: 6204727894
Enrollment ID: I20040324000704
Provider NameRoss G Moorman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972608982
PECOS PAC ID: 7214920578
Enrollment ID: I20040405000610
Provider NameWilliam F Shivers
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1457420614
PECOS PAC ID: 9931196920
Enrollment ID: I20040430000091
Provider NameGregory Robert Crawley
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1194716423
PECOS PAC ID: 9830080647
Enrollment ID: I20040618000389
Provider NameRobert D Collins
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1447250220
PECOS PAC ID: 6901882182
Enrollment ID: I20040628001126
Provider NameAmanda L Davis Herin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356377154
PECOS PAC ID: 5597730721
Enrollment ID: I20040831000681
Provider NameJules Nehmetallah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003880576
PECOS PAC ID: 7214996073
Enrollment ID: I20041008000442
Provider NameJacob Hyppolite
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255302428
PECOS PAC ID: 2567421936
Enrollment ID: I20041011000256
Provider NameWillie W Tapp
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104875012
PECOS PAC ID: 2961466917
Enrollment ID: I20041118000686
Provider NameTimothy A Jamieson
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1548251010
PECOS PAC ID: 4688631997
Enrollment ID: I20041220000719
Provider NameDouglas W Johnson
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1497712384
PECOS PAC ID: 1153388467
Enrollment ID: I20041227000395
Provider NameCharles Galea
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1174517502
PECOS PAC ID: 1759349574
Enrollment ID: I20041228000069
Provider NameMarco A Ayulo
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1316938848
PECOS PAC ID: 2466496773
Enrollment ID: I20050623000009
Provider NamePadmanabha Maramreddy
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1487639092
PECOS PAC ID: 4880650860
Enrollment ID: I20050824000090
Provider NameAteeqahmed S Patel
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1710072319
PECOS PAC ID: 9830122274
Enrollment ID: I20050915000547
Provider NameAndrea D Moody
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285660365
PECOS PAC ID: 8123036183
Enrollment ID: I20060403000207
Provider NameArmando Moncada
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1639246366
PECOS PAC ID: 0547231839
Enrollment ID: I20060427000332
Provider NameAngampally G Rajeev
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1891738118
PECOS PAC ID: 3274545041
Enrollment ID: I20060616000038
Provider NameAntonio Reyes Beltran
Provider TypePractitioner - Sleep Medicine
Provider IdentifiersNPI Number: 1720011570
PECOS PAC ID: 8123016441
Enrollment ID: I20060726000338
Provider NameOvidiu Popa
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1144277864
PECOS PAC ID: 4789689308
Enrollment ID: I20061003000352
Provider NameVikram R Mandadi
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1598852436
PECOS PAC ID: 6305940644
Enrollment ID: I20070327000326
Provider NameThomas E Craig
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720163066
PECOS PAC ID: 9537265038
Enrollment ID: I20070430000348
Provider NameIris Kelly
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134172588
PECOS PAC ID: 5395777130
Enrollment ID: I20071213000480
Provider NameHoward Griffin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1669467122
PECOS PAC ID: 3072514769
Enrollment ID: I20080218000211
Provider NameJohn Raymond Duttenhaver
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1588695969
PECOS PAC ID: 7416950431
Enrollment ID: I20080407000552
Provider NameWilliam A Morton
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881614584
PECOS PAC ID: 2769551241
Enrollment ID: I20080523000375
Provider NameDonald B. Waters
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972535615
PECOS PAC ID: 1355332362
Enrollment ID: I20080529000615
Provider NameJames Blasko
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619997384
PECOS PAC ID: 4385714633
Enrollment ID: I20080529000642
Provider NameGeorge A Wheeler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588684278
PECOS PAC ID: 2163592411
Enrollment ID: I20080529000674
Provider NameMarlene Zetzer Shivers
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1801915871
PECOS PAC ID: 9931267861
Enrollment ID: I20081022000305
Provider NameMcgregor N Lott
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1326263310
PECOS PAC ID: 6204925043
Enrollment ID: I20081027000513
Provider NameKenyon M Meadows
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1891726451
PECOS PAC ID: 0749286136
Enrollment ID: I20081121000464
Provider NameIsiaka Olawale Sholabi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003854449
PECOS PAC ID: 9133128614
Enrollment ID: I20090414000002
Provider NameOdette A Thomas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235385576
PECOS PAC ID: 1951453299
Enrollment ID: I20090716000467
Provider NameSigismund S Lee
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1194974048
PECOS PAC ID: 4688727431
Enrollment ID: I20090728000048
Provider NameManel D Nayak
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1902818073
PECOS PAC ID: 1951448216
Enrollment ID: I20091020000252
Provider NameSridhar Srinivasan
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1750598363
PECOS PAC ID: 4385718634
Enrollment ID: I20091027000428
Provider NameAshraf I Sedfawy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972761153
PECOS PAC ID: 2769521434
Enrollment ID: I20091209000588
Provider NameWilliam M Rouse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124265426
PECOS PAC ID: 7810037835
Enrollment ID: I20091222000515
Provider NameJill G Bryant
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1306820741
PECOS PAC ID: 6305973371
Enrollment ID: I20100422000810
Provider NameSamer A Zeayter
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578543047
PECOS PAC ID: 5395777627
Enrollment ID: I20100726000311
Provider NameDevendra Rao Koganti
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1659334829
PECOS PAC ID: 5698879930
Enrollment ID: I20100826000773
Provider NameRobert M Packer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417948282
PECOS PAC ID: 8224185632
Enrollment ID: I20100827000585
Provider NameRobert R Francilin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538485321
PECOS PAC ID: 8921123100
Enrollment ID: I20100910000829
Provider NameJames H Bloodworth
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1235112913
PECOS PAC ID: 5597957043
Enrollment ID: I20101004000124
Provider NameCharles G Caldwell
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1023017555
PECOS PAC ID: 3971575457
Enrollment ID: I20101101001428
Provider NameDennis A Fields
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1356506836
PECOS PAC ID: 5092900308
Enrollment ID: I20101112000198
Provider NameFritz Jean-pierre
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1770735151
PECOS PAC ID: 1759579915
Enrollment ID: I20110103000875
Provider NameKurtis Moodie
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1346413424
PECOS PAC ID: 1254461908
Enrollment ID: I20110214000792
Provider NameRay Thomas Ross
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1508940651
PECOS PAC ID: 6406955889
Enrollment ID: I20110310000169
Provider NameAristotle P Cochon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912165192
PECOS PAC ID: 9830368950
Enrollment ID: I20110808000048
Provider NameJose E Espinel
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1497863211
PECOS PAC ID: 0547240517
Enrollment ID: I20110809000162
Provider NameMitzi Braddock Tyre
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396983227
PECOS PAC ID: 6800065582
Enrollment ID: I20110815000504
Provider NameYolanda Borders
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1841483914
PECOS PAC ID: 9537330774
Enrollment ID: I20110920000932
Provider NameKristina N Johnson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841426707
PECOS PAC ID: 5991951220
Enrollment ID: I20120801000963
Provider NameNimi P Patel
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1235410911
PECOS PAC ID: 6103073366
Enrollment ID: I20120823000726
Provider NameNosheen Azam
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184852600
PECOS PAC ID: 5496902017
Enrollment ID: I20120904000193
Provider NameAmaka Eunice Ezimora
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902121122
PECOS PAC ID: 5799939799
Enrollment ID: I20130128000489
Provider NameScott E Mathis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356535322
PECOS PAC ID: 7719132141
Enrollment ID: I20130308000327
Provider NameAngela D Adams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245580414
PECOS PAC ID: 7911147301
Enrollment ID: I20130708000601
Provider NameRonnie Tom Oommen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548581887
PECOS PAC ID: 8325289077
Enrollment ID: I20130723000902
Provider NameKamalendra N Mondal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033140587
PECOS PAC ID: 9234197369
Enrollment ID: I20130726000469
Provider NameSaadia Aurangzeb Malik
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912209115
PECOS PAC ID: 8325272792
Enrollment ID: I20131018000474
Provider NameTiffany L Bolden Watkins
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1982845897
PECOS PAC ID: 0648404012
Enrollment ID: I20131018000622
Provider NameVictor Hugo Urbieta Caceres
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1386922938
PECOS PAC ID: 7810121282
Enrollment ID: I20131018000646
Provider NameLashunda Nicole Stone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245598523
PECOS PAC ID: 9335375443
Enrollment ID: I20131120000824
Provider NameNoah Nathan Chasen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932416401
PECOS PAC ID: 3274780754
Enrollment ID: I20140324001225
Provider NameRichard Lesperance
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1194927228
PECOS PAC ID: 4284881459
Enrollment ID: I20140422000582
Provider NameByron Faler
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1003008236
PECOS PAC ID: 9830322353
Enrollment ID: I20140507000568
Provider NameGregory Woods
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1720073778
PECOS PAC ID: 7618914581
Enrollment ID: I20140806001389
Provider NameShaun Robert Brown
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1730388976
PECOS PAC ID: 0345468765
Enrollment ID: I20140827001246
Provider NameMary H Benek
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1689088874
PECOS PAC ID: 9436378627
Enrollment ID: I20140922000601
Provider NameGazanfar Rahmathulla
Provider TypePractitioner - Neurosurgery
Provider IdentifiersNPI Number: 1073750303
PECOS PAC ID: 7911155965
Enrollment ID: I20140923001362
Provider NameCletus Tanwi Moma
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982998373
PECOS PAC ID: 0042446353
Enrollment ID: I20140923001479
Provider NameWilliam Carey Ramsey
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1265537252
PECOS PAC ID: 2163325408
Enrollment ID: I20141003001587
Provider NameRuchir Puri
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1386800852
PECOS PAC ID: 5597906719
Enrollment ID: I20141003001873
Provider NameTamara Huff
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1932336997
PECOS PAC ID: 9739309543
Enrollment ID: I20141015000823
Provider NameDouglas Adolphson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1073767018
PECOS PAC ID: 7113162637
Enrollment ID: I20141022001558
Provider NameDarrell Jack Potter
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1265412605
PECOS PAC ID: 9739078478
Enrollment ID: I20141029001324
Provider NameRatna M Kunasani
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1104073808
PECOS PAC ID: 6709946197
Enrollment ID: I20141210002238
Provider NameBrian Singleton
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1134108426
PECOS PAC ID: 5092807370
Enrollment ID: I20150114001762
Provider NameJohnny Washington
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1407007552
PECOS PAC ID: 7416271580
Enrollment ID: I20150120001302
Provider NameShelly Bansal
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1174793111
PECOS PAC ID: 4688801806
Enrollment ID: I20150302000881
Provider NameJimmy L Moss
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275845208
PECOS PAC ID: 0143457721
Enrollment ID: I20150327000313
Provider NameJonathan Caleb Malone
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1639223530
PECOS PAC ID: 6305070152
Enrollment ID: I20150410002479
Provider NameMegan Jane Manthe
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1104050772
PECOS PAC ID: 6002036050
Enrollment ID: I20150505000242
Provider NameDonald P Prentiss
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1275617839
PECOS PAC ID: 9436130507
Enrollment ID: I20150629001228
Provider NameRoberto J Lopez-vega
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891073482
PECOS PAC ID: 5193945897
Enrollment ID: I20150708001257
Provider NameJohn Pennington
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780657734
PECOS PAC ID: 8426043522
Enrollment ID: I20150728006084
Provider NamePriscilla G Thomas
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1063656403
PECOS PAC ID: 2668781329
Enrollment ID: I20151020000722
Provider NameJennifer M Rafus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114007630
PECOS PAC ID: 1456330240
Enrollment ID: I20151020001759
Provider NameDuane L Schonlau
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1710208442
PECOS PAC ID: 0547406753
Enrollment ID: I20151030000768
Provider NameMarcus Allen Kater
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1821314410
PECOS PAC ID: 7618282385
Enrollment ID: I20151105001585
Provider NameNancy Danielle Collins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033586615
PECOS PAC ID: 0042511198
Enrollment ID: I20151215002582
Provider NameAshley L Cowart
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1568745354
PECOS PAC ID: 3375701147
Enrollment ID: I20160208000250
Provider NameRay Kartchner Bradford
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1518287176
PECOS PAC ID: 1456665207
Enrollment ID: I20160224002389
Provider NameJulia A Drake
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487027967
PECOS PAC ID: 7113224049
Enrollment ID: I20160321001458
Provider NameEdyn B Mckinnon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235595604
PECOS PAC ID: 2163711961
Enrollment ID: I20160518001067
Provider NameJesse Mckinnon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407219314
PECOS PAC ID: 5698069953
Enrollment ID: I20160809001733
Provider NameMandy Hubbard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740425479
PECOS PAC ID: 5395030373
Enrollment ID: I20160830001798
Provider NameTara D Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134505118
PECOS PAC ID: 8628365335
Enrollment ID: I20160923001222
Provider NameJames R Kisselburg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841434255
PECOS PAC ID: 0648496687
Enrollment ID: I20161004003046
Provider NameMelissa Waters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396197208
PECOS PAC ID: 6305134172
Enrollment ID: I20161011001067
Provider NameDwelvin L Simmons
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1740247311
PECOS PAC ID: 5890746432
Enrollment ID: I20161220000273
Provider NameObi Osuji
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1730321985
PECOS PAC ID: 7214184753
Enrollment ID: I20170207002421
Provider NameAlicia Conn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538604368
PECOS PAC ID: 0648555730
Enrollment ID: I20170403001718
Provider NameSara S Knox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760939441
PECOS PAC ID: 2264719731
Enrollment ID: I20170510001948
Provider NameDouglas B Widener
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1104088566
PECOS PAC ID: 4284959768
Enrollment ID: I20170511002213
Provider NameNisha Panicker Aravindakshan-patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942527478
PECOS PAC ID: 6507173770
Enrollment ID: I20170710003102

Reviews and Comments


Clinic/Center in Waycross, GA

Beacon Pediatrics
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 801 Beacon St, Waycross, GA 31501
Phone: 912-285-2440    Fax: 912-287-0197
Southeast Georgia Primary Care
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 409 Uvalda St, Waycross, GA 31501
Phone: 912-283-1359    Fax: 912-283-1362
Peter Wrobel Md Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1720 Old Reynolds St, Waycross, GA 31501
Phone: 912-283-1359    Fax: 912-283-1360
Dean E. Thornton, Dc, Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 401 Stephenson St, Waycross, GA 31501
Phone: 912-283-6043    Fax: 912-283-6043
Southeast Internal Medicine Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 406 Riverside Dr, Waycross, GA 31501
Phone: 912-287-1555    
Packer Medical Services,llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 709 Knight Ave, Waycross, GA 31501
Phone: 912-283-2311    Fax: 912-283-8204
Braco Medical Services Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 700 Riverside Ave, Waycross, GA 31501
Phone: 912-490-8546    Fax: 877-221-0052

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.