| Peter Wrobel Md Pc | |
|
1720 Old Reynolds St Waycross GA 31501-1036 | |
| (912) 283-1359 | |
| (912) 283-1360 |
| Full Name | Peter Wrobel Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1720 Old Reynolds St, Waycross, Georgia |
| Authorized Official Name and Position | Peter Wrobel (PRACTITIONER/OWNER) |
| Authorized Official Contact | 9122831359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Wrobel Md Pc 1718 Reynolds Street Waycross GA 31501-4574 Ph: (912) 283-1359 | Peter Wrobel Md Pc 1720 Old Reynolds St Waycross GA 31501-1036 Ph: (912) 283-1359 |
| NPI Number | 1063654929 |
|---|---|
| Provider Enumeration Date | 03/24/2009 |
| Last Update Date | 09/20/2024 |
| Medicare PECOS PAC ID | 0345390795 |
|---|---|
| Medicare Enrollment ID | O20090608000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063654929 | NPI | - | NPPES |
| 000672339F | Medicaid | GA | |
| 000672339E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 040285 (Georgia) | Primary |
| Provider Name | Peter Wrobel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396761987 PECOS PAC ID: 0042389256 Enrollment ID: I20080514000336 |
| Provider Name | John C House |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346348133 PECOS PAC ID: 4981777513 Enrollment ID: I20080715000822 |
| Provider Name | Lisa Batten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538469705 PECOS PAC ID: 5294922126 Enrollment ID: I20101204000039 |
| Provider Name | Carmen Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306368329 PECOS PAC ID: 7214203793 Enrollment ID: I20171027002094 |
| Provider Name | Tammy Wiggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619660222 PECOS PAC ID: 7416318670 Enrollment ID: I20230803002964 |
| Provider Name | Kelli Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174128706 PECOS PAC ID: 2668834193 Enrollment ID: I20230816001446 |
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 | |
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 |