C. Wayne Dodgen, Md, Pc - Medicare Primary Care in Thomaston, GA

C. Wayne Dodgen, Md, Pc is a medicare enrolled primary clinic (Family Medicine) in Thomaston, Georgia. The current practice location for C. Wayne Dodgen, Md, Pc is 107 Jackson Ave, Suite A, Thomaston, Georgia. For appointments, you can reach them via phone at (706) 647-8101. The mailing address for C. Wayne Dodgen, Md, Pc is Po Box 4867, Macon, Georgia and phone number is (706) 647-8101.

C. Wayne Dodgen, Md, Pc is licensed to practice in Georgia (license number ). The clinic also participates in the medicare program and its NPI number is 1104022425. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (706) 647-8101.

Contact Information

C. Wayne Dodgen, Md, Pc
107 Jackson Ave
Suite A
Thomaston
GA 30286-3433
(706) 647-8101
(706) 647-8543

Map and Direction


Primary Care Clinic Profile

Full NameC. Wayne Dodgen, Md, Pc
SpecialityFamily Medicine
Location107 Jackson Ave, Thomaston, Georgia
Authorized Official Name and PositionCharles Wayne Dodgen (CEO)
Authorized Official Contact7066478101
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
C. Wayne Dodgen, Md, Pc
Po Box 4867
Macon
GA 31208-4867

Ph: (706) 647-8101
C. Wayne Dodgen, Md, Pc
107 Jackson Ave
Suite A
Thomaston
GA 30286-3433

Ph: (706) 647-8101

NPI Details:

NPI Number1104022425
Provider Enumeration Date06/24/2007
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID1759417751
Medicare Enrollment IDO20100330000025

Medical Identifiers

Medical identifiers for C. Wayne Dodgen, Md, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104022425NPI-NPPES
11DO948247OtherGACLIA #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. C. Wayne Dodgen, Md, Pc acts as a billing entity for following providers:
Provider NameCharles W Dodgen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104846625
PECOS PAC ID: 8022144021
Enrollment ID: I20100330000023
Provider NameDiana Lynn Kreismanis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346885381
PECOS PAC ID: 4587070206
Enrollment ID: I20210304000369

Reviews and Comments


Family Medicine in Thomaston, GA

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Phone: 706-938-4483    Fax: 706-938-0777
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Thomaston Medical Clinic, Pc
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Medicare: Medicare Enrolled
Practice Location: 615 S Center St, Thomaston, GA 30286
Phone: 706-647-2147    Fax: 706-647-7229

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.