Ashley G Loseke (NPI# 1225087992, PAC ID# 7214034891) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1225087992 |
| PAC ID by PECOS | 7214034891 |
| Professional Enrollment ID | I20070515000619 |
| Full Name | Ashley G Loseke |
| Organization Legal Name | SAMUEL E. PALMER |
| Address |
106 Moran Dr Bonaire GA 31005-5106 |
| Phone Number | 4789881282 |
| Gender | F |
| Credential | PA |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3870563034 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110069 | HOUSTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 106 Moran Dr, Bonaire, GA 31005-5106 | 4789881282 | SAMUEL E. PALMER |
| Organization Legal Name | SAMUEL E. PALMER |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dona M Tuten | Nurse Practitioner | Samuel E. Palmer | 106 Moran Dr, Bonaire, GA 31005-5106 |
| Street Address |
106 MORAN DR |
| City | BONAIRE |
| State | GA |
| Zip | 31005-5106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel E Palmer | Family Medicine | Samuel E. Palmer, Md, PC | 106 Moran Dr, Bonaire, GA 31005-5106 |
| Melanie D Shorter | Family Medicine | Samuel E. Palmer, Md, PC | 106 Moran Dr, Bonaire, GA 31005-5106 |
| Dona M Tuten | Nurse Practitioner | Samuel E. Palmer | 106 Moran Dr, Bonaire, GA 31005-5106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Raenelle Watt | Nurse Practitioner | Tlc of Georgia LLC | 744 Ga Hwy 96, Bonaire, GA 31005-3300 |
| Kyle Dustin Kaufman | Nurse Practitioner | Tlc of Georgia LLC | 744 Ga Hwy 96, Bonaire, GA 31005-3300 |
| Christopher L Jackson | Chiropractic | 100 Stillwater Cir C, Bonaire, GA 31005-3856 | |
| Michael Kevin Mccrary | Physical Therapy | Core Physical Therapy, PC | 101 Stillwater Circle, Bonaire, GA 31005-3857 |
| Lana Alden Dellinger | Physical Therapy | Core Physical Therapy, PC | 101 Stillwater Circle, Bonaire, GA 31005-3857 |
| Keith T Brown | Physical Therapy | Core Physical Therapy, PC | 101 Stillwater Circle, Bonaire, GA 31005-3857 |
| Jason L Swain | Physical Therapy | Core Physical Therapy, PC | 101 Stillwater Circle, Bonaire, GA 31005-3857 |
| Brittany Nicole Wright | Optometry | J Mathis Dixon Od PC | 770 Ga Hwy 96, Suite 255, Bonaire, GA 31005-5119 |
| City | BONAIRE |
| Zip Code | 31005 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BONAIRE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Ashley G Loseke.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.