Roberto Jafet Lopez Vega, MD | |
1900 Tebeau St, Waycross, GA 31501-6357 | |
(201) 417-9656 | |
Not Available |
Full Name | Roberto Jafet Lopez Vega |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 15 Years |
Location | 1900 Tebeau St, Waycross, 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 |
---|---|---|---|
1891073482 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 73605 (Georgia) | Primary |
207R00000X | Internal Medicine | 25MA09541600 (New Jersey) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mayo Clinic Health System In Waycross | Waycross, GA | Hospital |
Meadows Regional Medical Center | Vidalia, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cogent Healthcare Of Georgia Pc | 2961483607 | 231 |
Hospital Physician Services - Southeast Professional Corporation | 5597774554 | 663 |
Entity Name | 24 On Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912956251 PECOS PAC ID: 5698688141 Enrollment ID: O20031216000444 |
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 | Cogent Healthcare Of Georgia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
Entity Name | Hospital Physician Services - Southeast Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760410385 PECOS PAC ID: 5597774554 Enrollment ID: O20060419000545 |
Entity Name | Coffee County Hospitalist Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811435464 PECOS PAC ID: 1153696117 Enrollment ID: O20171002002498 |
Mailing Address | Practice Location Address |
---|---|
Roberto Jafet Lopez Vega, MD Po Box 173, Waycross, GA 31502 Ph: (201) 417-9656 | Roberto Jafet Lopez Vega, MD 1900 Tebeau St, Waycross, GA 31501-6357 Ph: (201) 417-9656 |
Jules M Nehmetallah, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 410 Darling Ave, Waycross, GA 31501 Phone: 913-338-6438 | |
Dr. James R. Kisselburg, M,D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1900 Tebeau Street, Waycross, GA 31501 Phone: 912-338-6438 Fax: 912-338-6439 |