Edward C Lauterbach, MD | |
940 Hwy 96, Warner Robins, GA 31088 | |
(478) 988-1222 | |
(478) 988-1106 |
Full Name | Edward C Lauterbach |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 940 Hwy 96, Warner Robins, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306922315 | NPI | - | NPPES |
000383908A | Medicaid | GA | |
260022713 | Other | GA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 031056 (Georgia) | Primary |
Entity Name | Community Service Board Of Middle Georgia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689657637 PECOS PAC ID: 3173518644 Enrollment ID: O20040415000940 |
Mailing Address | Practice Location Address |
---|---|
Edward C Lauterbach, MD 1550 College Street, Macon, GA 31207-1554 Ph: (478) 301-4111 | Edward C Lauterbach, MD 940 Hwy 96, Warner Robins, GA 31088 Ph: (478) 988-1222 |
Cecil Stephen Little, D.O. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2278 Moody Rd, Suite D, Warner Robins, GA 31088 Phone: 478-928-0294 Fax: 478-923-9770 | |
Olusanmi J Babatola, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 940 A Ga Highway 96, Warner Robins, GA 31088 Phone: 478-988-1222 | |
Dr. Deepti Jain Bhasin, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 402 Osigian Blvd, Sutie 400, Warner Robins, GA 31088 Phone: 478-333-3058 Fax: 478-333-3496 | |
Dr. Rosita Sadhana Shivdat-nanhoe, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 116a Hospital Dr, Warner Robins, GA 31088 Phone: 478-225-2297 | |
Munazzah Khawaja, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1601 Watson Blvd, Warner Robins, GA 31093 Phone: 478-923-3535 Fax: 478-923-3403 | |
Dan Ioanitescu, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 233 N Houston Rd Ste 103, Warner Robins, GA 31093 Phone: 478-352-7001 Fax: 478-352-7003 |