Dr Raymond J Otis Sr, MD | |
24 N Ellis St, Camilla, GA 31730-1502 | |
(229) 336-7343 | |
(229) 336-7400 |
Full Name | Dr Raymond J Otis Sr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 24 N Ellis St, Camilla, 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 |
---|---|---|---|
1104844422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 042685 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bacon County Hospital | Alma, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Erx Group Llc | 9335037571 | 14 |
Entity Name | Dr Rqymond J Otis |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649449323 PECOS PAC ID: 8426953662 Enrollment ID: O20031202000140 |
Entity Name | Hospital Authority Of The City Of Bainbridge And Decatur County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053388256 PECOS PAC ID: 1658265137 Enrollment ID: O20040216000016 |
Entity Name | Clinch County Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861478851 PECOS PAC ID: 7416849922 Enrollment ID: O20040329000922 |
Entity Name | Erx Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760823082 PECOS PAC ID: 9335037571 Enrollment ID: O20130930000326 |
Mailing Address | Practice Location Address |
---|---|
Dr Raymond J Otis Sr, MD Po Box 348, 24 North Ellis Street, Camilla, GA 31730-0348 Ph: (229) 336-7343 | Dr Raymond J Otis Sr, MD 24 N Ellis St, Camilla, GA 31730-1502 Ph: (229) 336-7343 |
Lauren F Clemmons, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 259 Us Highway 19 N, Camilla, GA 31730 Phone: 229-336-1949 | |
Barbara J Kupka, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Us Hwy 48 S, Camilla, GA 31730 Phone: 229-883-4297 Fax: 229-336-8200 | |
Jason Henry Smith, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 259 Us Highway 19 N, Camilla, GA 31730 Phone: 229-336-1949 Fax: 229-336-1436 | |
Dr. Anozie A Ukaonu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 Us Highway 19 S, Camilla, GA 31730 Phone: 229-336-5208 Fax: 229-336-2091 | |
Dr. Stephen A Rubendall Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 259 Us Highway 19 North, Camilla, GA 31730 Phone: 229-336-1949 Fax: 229-336-1436 |