Dr Bert Puckett Wall, MD | |
526 College Dr, Barnesville, GA 30204-1713 | |
(770) 358-3284 | |
(770) 358-1015 |
Full Name | Dr Bert Puckett Wall |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 26 Years |
Location | 526 College Dr, Barnesville, 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 |
---|---|---|---|
1154423754 | NPI | - | NPPES |
00841035G | Medicaid | GA | |
52782413003 | Other | GA | BC / BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 048003 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Upson Regional Medical Center | Thomaston, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hightower Physician Services, Pc | 4486903176 | 17 |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
Entity Name | Upson Family Medical Center, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124528344 PECOS PAC ID: 9032472824 Enrollment ID: O20180409001182 |
Entity Name | Hightower Physician Services, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891296620 PECOS PAC ID: 4486903176 Enrollment ID: O20180813003569 |
Mailing Address | Practice Location Address |
---|---|
Dr Bert Puckett Wall, MD 526 College Dr, Barnesville, GA 30204-1713 Ph: (770) 358-3284 | Dr Bert Puckett Wall, MD 526 College Dr, Barnesville, GA 30204-1713 Ph: (770) 358-3284 |
Lee T Woodall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Houston St, Barnesville, GA 30204 Phone: 770-358-1961 Fax: 770-358-9233 | |
Ms. Sabrina Angelica Mcclinton, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 231 Highway 41 N, Barnesville, GA 30204 Phone: 770-872-3834 Fax: 706-647-3861 | |
Mrs. Summer Spivey Williams, FNP-C Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 522 Greenwood St Ste A, Barnesville, GA 30204 Phone: 770-872-3663 Fax: 770-872-3665 | |
Dr. Thomas Aaron Buice, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 522 Greenwood St, Ste A, Barnesville, GA 30204 Phone: 770-872-3663 Fax: 770-872-3665 | |
Dr. Ray B. Paris, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Commerce Pl, Suite 1, Barnesville, GA 30204 Phone: 770-358-4408 Fax: 770-358-0002 | |
Haley M Manley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Houston St, Barnesville, GA 30204 Phone: 770-358-1961 Fax: 770-358-9233 |