Mr Donald B Waters, MD | |
120 E Carter Ave, Blackshear, GA 31516-1561 | |
(912) 449-4426 | |
(912) 449-1517 |
Full Name | Mr Donald B Waters |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 54 Years |
Location | 120 E Carter Ave, Blackshear, 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 |
---|---|---|---|
1972535615 | NPI | - | NPPES |
00071904A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 13804 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health | Waycross, GA | Home health agency |
Hospice Satilla Of Mem Hosp | Waycross, GA | Hospice |
Mayo Clinic Health System In Waycross | Waycross, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Vincent's Ambulatory Care Inc | 2860411188 | 275 |
Entity Name | Mayo Clinic Health System In Waycross, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154745982 PECOS PAC ID: 0042124919 Enrollment ID: O20040308000639 |
Entity Name | St Vincent's Ambulatory Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417987124 PECOS PAC ID: 2860411188 Enrollment ID: O20051129000302 |
Entity Name | Privia Medical Group Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
Mailing Address | Practice Location Address |
---|---|
Mr Donald B Waters, MD 120 E Carter Ave, Blackshear, GA 31516-1561 Ph: (912) 449-4426 | Mr Donald B Waters, MD 120 E Carter Ave, Blackshear, GA 31516-1561 Ph: (912) 449-4426 |
Mr. Thomas W Davis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 147 Longleaf Dr, Blackshear, GA 31516 Phone: 912-449-6243 | |
Ms. Susan Brickle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Carter Ave, Blackshear, GA 31516 Phone: 912-449-4426 Fax: 912-449-1059 | |
Jeffrey P. Davenport, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Carter Ave, Blackshear Family Practice, Blackshear, GA 31516 Phone: 912-449-4426 | |
Mr. Gordon Brent Waters, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Carter Ave, Blackshear, GA 31516 Phone: 912-449-4426 Fax: 912-449-1059 |