Mrs Alicia Marie Conn, FNP, PMHNP-BC | |
1610 Alice Street, Waycross, GA 31501-4533 | |
(912) 584-3263 | |
(912) 809-2296 |
Full Name | Mrs Alicia Marie Conn |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 1610 Alice Street, Waycross, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538604368 | NPI | - | NPPES |
003254260A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN230326 (Georgia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 000000 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Empower Wellness, Llc | 1658774807 | 2 |
Gateway Behavioral Health Services | 3173510237 | 31 |
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 | Gateway Behavioral Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558478214 PECOS PAC ID: 3173510237 Enrollment ID: O20040429000700 |
Entity Name | Hospital Authority Of Jeff Davis County Georgia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912902263 PECOS PAC ID: 4981692472 Enrollment ID: O20040504000404 |
Entity Name | Empower Wellness, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386238723 PECOS PAC ID: 1658774807 Enrollment ID: O20210726001375 |
Mailing Address | Practice Location Address |
---|---|
Mrs Alicia Marie Conn, FNP, PMHNP-BC 1610 Alice Street, Waycross, GA 31501-4533 Ph: (912) 584-3263 | Mrs Alicia Marie Conn, FNP, PMHNP-BC 1610 Alice Street, Waycross, GA 31501-4533 Ph: (912) 584-3263 |
Barbara D Pittman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615a Pendleton St, Waycross, GA 31501 Phone: 912-548-0710 Fax: 912-548-0071 | |
Robert Scott Jacobs, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403a Lister St, Waycross, GA 31501 Phone: 912-283-4422 Fax: 912-283-4866 | |
Mr. James Aaron Houser, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1206 Alice St, Waycross, GA 31501 Phone: 912-285-1140 Fax: 912-285-1125 | |
Dawn Lynn Driggers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 1/2 Alice St, Waycross, GA 31501 Phone: 912-614-3768 | |
Kala Hodges, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 409 Uvalda St, Waycross, GA 31501 Phone: 229-391-3500 | |
Ms. Andrea M Deloach, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 Knight Ave, Waycross, GA 31501 Phone: 912-283-9423 Fax: 912-283-2946 | |
Mrs. Jennifer Miller Rafus, M.S., FNP, LIC. AC. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615a Pendleton St, Waycross, GA 31501 Phone: 912-548-0710 |