Dr Richard Harris Jadick, DO | |
1555 Doctors Dr Ste 101, Lagrange, GA 30240-4132 | |
(706) 803-7540 | |
(706) 803-8816 |
Full Name | Dr Richard Harris Jadick |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 27 Years |
Location | 1555 Doctors Dr Ste 101, Lagrange, 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 |
---|---|---|---|
1083837975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 069823 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar West Georgia Medical Center | Lagrange, GA | Hospital |
Wellstar Spalding Regional Hospital | Griffin, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Entity Name | Ctca Physicians Group Of Georgia, Llc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard Harris Jadick, DO 1555 Doctors Dr Ste 101, Lagrange, GA 30240-4132 Ph: (706) 803-7540 | Dr Richard Harris Jadick, DO 1555 Doctors Dr Ste 101, Lagrange, GA 30240-4132 Ph: (706) 803-7540 |
Justin Fincher, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1555 Doctors Dr Ste 101, Lagrange, GA 30240 Phone: 706-803-7540 Fax: 706-803-8816 | |
John Connor Smith, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 303 Smith Street, Clark-holder Clinic, P.a., Lagrange, GA 30240 Phone: 706-882-8831 Fax: 706-812-4091 |