Wynne Kendra Lott, PA-C is a medicare enrolled "Physician Assistant - Medical" in Hazlehurst, Georgia. She went to Medical College Of Georgia School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Hospital Authority Of Jeff Davis County Georgia and her current practice location is
4 S Tallahassee St Ste 4, Hazlehurst, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 699-6570.
Wynne Kendra Lott is licensed to practice in Georgia (license number 003905) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811042815.
Provider's Profile
| Full Name | Wynne Kendra Lott |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 22 Years |
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| Location | 4 S Tallahassee St Ste 4, Hazlehurst, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Wynne Kendra Lott attended and graduated from Medical College Of Georgia School Of Medicine in 2002
NPI Data:
- NPI Number: 1811042815
- Provider Enumeration Date: 01/23/2007
- Last Update Date: 09/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658345202
- Enrollment ID: I20040820000580
Medical Identifiers
Medical identifiers for Wynne Kendra Lott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811042815 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 003905 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Hospital Authority Of Jeff Davis County Georgia | 4981692472 | 5 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Wynne Kendra Lott is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Wynne Kendra Lott, PA-C
4 S Tallahassee St Ste 4,
Hazlehurst, GA 31539-6136
Ph: (912) 699-6570 | Wynne Kendra Lott, PA-C
4 S Tallahassee St Ste 4,
Hazlehurst, GA 31539-6136
Ph: (912) 699-6570 |
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