Dr Lisa Ann Rudolph-watson, | |
3131 S Main St, Moultrie, GA 31768-6925 | |
(229) 985-3420 | |
Not Available |
Full Name | Dr Lisa Ann Rudolph-watson |
---|---|
Gender | Female |
Speciality | Psychiatry |
Experience | 32 Years |
Location | 3131 S Main St, Moultrie, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881627867 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 17946 (West Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Colquitt Regional Medical Center | Moultrie, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Colquitt Regional Psychiatry Llc | 4981012655 | 5 |
Georgia Pines Community Service Board | 5799772844 | 10 |
Entity Name | Georgia Pines Community Service Board |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366506958 PECOS PAC ID: 5799772844 Enrollment ID: O20040429000631 |
Entity Name | Sgmp Southland, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447695085 PECOS PAC ID: 1153563770 Enrollment ID: O20130812000452 |
Entity Name | Colquitt Regional Psychiatry Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407459027 PECOS PAC ID: 4981012655 Enrollment ID: O20210419000060 |
Mailing Address | Practice Location Address |
---|---|
Dr Lisa Ann Rudolph-watson, Po Box 2876, Moultrie, GA 31776-2876 Ph: (229) 891-9131 | Dr Lisa Ann Rudolph-watson, 3131 S Main St, Moultrie, GA 31768-6925 Ph: (229) 985-3420 |
Dr. Martha Nelly Millan Sanchez, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3015 Veterans Pkwy S, Moultrie, GA 31788 Phone: 229-985-4815 Fax: 229-890-6777 | |
Dr. Anthony Nicholas Cimmino, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1 Magnolia Ct, Moultrie, GA 31768 Phone: 229-502-9753 | |
Dr. Kent Alexander Posey, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 760 26th Ave Se, Moultrie, GA 31768 Phone: 229-502-9735 | |
Muhammad Mahmood Alam, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3015 Veterans Pkwy S, Moultrie, GA 31788 Phone: 229-985-4815 | |
Wilson Baumgartner, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1 Magnolia Ct, Moultrie, GA 31768 Phone: 229-502-9753 |