Richard M Proenza, PA-C in Vidalia, GA - Medicare Physician Assistant

Richard M Proenza, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Vidalia, Georgia. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Mark Spivey Orthopedic Clinic Llc and his current practice location is 3301 E 1st St, Suite A, Vidalia, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 537-4411.

Richard M Proenza is licensed to practice in Georgia (license number 004304) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982693024.

Contact Information

	Richard M Proenza, PA-C
	3301 E 1st St, Suite A, Vidalia, GA 30474-8674
	(912) 537-4411
	(912) 538-8485

Map and Direction

Provider's Profile

Full Name	Richard M Proenza
Gender	Male
Speciality	Physician Assistant
Experience	20 Years
Location	3301 E 1st St, Vidalia, 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.

Medical Education and Training:

Richard M Proenza graduated from nursing school in 2004

NPI Data:

NPI Number: 1982693024
Provider Enumeration Date: 10/20/2005
Last Update Date: 10/03/2013

Medicare PECOS Information:

PECOS PAC ID: 8123019080
Enrollment ID: I20040519001394

Medical Identifiers

Medical identifiers for Richard M Proenza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982693024	NPI	-	NPPES
954937257E	Medicaid	GA
954937257F	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	004304 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Meadows Regional Medical Center	Vidalia, GA	Hospital
Optim Medical Center - Tattnall	Reidsville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mark Spivey Orthopedic Clinic Llc	5395797336	8

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. Richard M Proenza 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
Richard M Proenza, PA-C 3301 E 1st St, Suite A, Vidalia, GA 30474-8674 Ph: (912) 537-4411	Richard M Proenza, PA-C 3301 E 1st St, Suite A, Vidalia, GA 30474-8674 Ph: (912) 537-4411

Reviews and Comments

Physician Assistant Nurses in Vidalia, GA

Mr. James R Payne, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-454-7012 Fax: 866-871-8565
Emily Paige Berryhill, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Meadows Pkwy, Vidalia, GA 30474 Phone: 912-535-5555
Hunter E Lynn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3301 E 1st St # A, Vidalia, GA 30474 Phone: 912-537-4411
Mr. Alex Pierce, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1013 E 1st St, Vidalia, GA 30474 Phone: 912-538-7702
Dianne S Mixon, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1608 Meadows Ln Ste 1, Vidalia, GA 30474 Phone: 912-537-9488 Fax: 912-537-8951
Robert Lee Arnold, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Maple Dr, Vidalia, GA 30474 Phone: 912-537-9851 Fax: 912-537-9843
Archie Thomas Kirkley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 125 Church St, Vidalia, GA 30474 Phone: 912-538-8484 Fax: 912-538-8665

Richard M Proenza, PA-C - Medicare Physician Assistant in Vidalia, GA