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Barnes Healthcare Services
P O Box 1187
Valdosta, GA 31603
Phone:
(800) 422 - 5059
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Need to make a payment? Please fill out the information below and hit continue.
Error Summary
Please, correctly fill out all required fields.
1. Patient Information
First Name
*
M.I.
Last Name
*
MRN or Pharmacy Account Number
*
MRN as shown on the top right corner of patient statement.
Invoice #
Invoice # as shown on patient statement. Payment applied to most outstanding invoice if is blank.
Email Address
*
A receipt will be sent to this email address.
2. Payment Amount
Amount
3. Payment Method
Credit/Debit Card
Bank Account
Name on Card
*
Card Number
*
Expiration Date
*
MM
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YYYY
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Security Code
*
Zip Code
*
Account Type
Checking
Savings
Routing Number
*
Account Number
*
Name On Check
Check Number
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