Michael Loraditch, PA | |
777 Hemlock St, Hospital Box 64, Macon, GA 31201-2102 | |
(478) 633-2097 | |
(478) 633-7836 |
Full Name | Michael Loraditch |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 777 Hemlock St, Macon, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912917642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 002049 (Georgia) | Primary |
Entity Name | Central Georgia Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598126641 PECOS PAC ID: 5991004608 Enrollment ID: O20160502001926 |
Mailing Address | Practice Location Address |
---|---|
Michael Loraditch, PA 103 Waldorf Dr, Perry, GA 31069-8741 Ph: () - | Michael Loraditch, PA 777 Hemlock St, Hospital Box 64, Macon, GA 31201-2102 Ph: (478) 633-2097 |
Jacquelyn Denise Payne, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 Pine St Ste 500, Macon, GA 31201 Phone: 478-633-8682 Fax: 478-633-8698 | |
Clayton Walter Guthrie Iii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3708 Northside Dr, Macon, GA 31210 Phone: 478-745-4206 Fax: 478-254-5463 | |
Gabrielle Morgan-benedetto Fleenor, Physician Assistant Medicare: Medicare Enrolled Practice Location: 623 Juniper Ln Apt 623, Macon, GA 31220 Phone: 207-877-4357 | |
Heidi Mans Atkins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 556 3rd St Ste A, Macon, GA 31201 Phone: 784-743-2472 Fax: 478-743-1516 | |
Rachel Hinson Youngblood, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 1st St Ste 410, Macon, GA 31201 Phone: 478-743-7068 Fax: 478-741-1354 | |
James B Lekas, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1157 Forsyth St, Macon, GA 31201 Phone: 478-745-8581 Fax: 478-328-0438 | |
Emily Huckaby Arnold, PHYSICIANS ASSISTANC Physician Assistant Medicare: Medicare Enrolled Practice Location: 610 3rd St, Suite 200, Macon, GA 31201 Phone: 478-464-2600 Fax: 478-738-0891 |