Stephen Chad Skidmore, DO | |
1514 Vernon Rd, Lagrange, GA 30240 | |
(706) 882-1411 | |
Not Available |
Full Name | Stephen Chad Skidmore |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 10 Years |
Location | 1514 Vernon Rd, 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 |
---|---|---|---|
1275929663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 80578 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar West Georgia Medical Center | Lagrange, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lagrange Emergency Physicians, Llc | 0840207072 | 22 |
Entity Name | Lagrange Emergency Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760437560 PECOS PAC ID: 0840207072 Enrollment ID: O20060314000271 |
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 |
Mailing Address | Practice Location Address |
---|---|
Stephen Chad Skidmore, DO 115 Springwater Shrs, Newnan, GA 30265-3819 Ph: (937) 430-9026 | Stephen Chad Skidmore, DO 1514 Vernon Rd, Lagrange, GA 30240 Ph: (706) 882-1411 |
Anthony Marchetti, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Road, Lagrange, GA 30240 Phone: 706-845-3706 | |
J. Eric Ragan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Road, Lagrange, GA 30240 Phone: 706-845-3706 | |
Dr. Van Millin, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 Smith St, Lagrange, GA 30240 Phone: 706-882-8831 Fax: 706-812-4091 | |
Mrs. Gail Ann Knight, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-845-3905 Fax: 770-999-2424 | |
Chima Onwukeme, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-845-3706 | |
Sana Masood Makhdoom, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1555 Doctors Dr Ste 102, Lagrange, GA 30240 Phone: 706-803-7890 Fax: 770-999-2850 |