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Letter to My Patients


My Dear Patients,


In January 2018, I went into private practice with a non-insurance cash-only practice. This is a wonderful and new medical practice model called, "Direct Primary Care." My office is within “The Village” at The Landings on Skidaway Island. I have ‘Admitting’ and ‘Surgical’ privileges for both St. Joseph's/Candler and Memorial Hospitals.

My practice model allows me to care for patients the way that I have always done - with empathy, care, and compassion. I do not accept any commercial insurance, Medicaid, Tricare, or Medicare. This is not health insurance. This practice model does not yet count as health insurance on your taxes. It is no longer a federal law of the United States of America to carry health insurance, but you should have some type of catastrophic health insurance at a minimum.

With your medical membership, you got a private cell phone number and e-mail address for me that is attached to your electronic medical record.

With your consent to contact via text or email, all of your results will be emailed directly to you, and you will be able to contact me directly.

I take call with the following physician:

Francisco Dueno, MD

There is no answering service associated with this practice. After hours, contact me on my special practice-associated phone number. If I am out of town and you need to see a physician, I will call them for you. If they see you for an emergency, you will have to use your insurance or cash to pay them; they are not participating in the Direct Primary Care model.

I have hired two wonderful, caring, compassionate, and knowledgeable women, Anita Waddy, and Nicole Jackson, FNP-BC, to help with my practice.

My retail store located in the office is open daily for women and men to purchase intimate items privately, safely, and conveniently. A catalog is available in the store to order items not kept in stock. If you do not feel comfortable ordering from the store, all products are available in my on-line store, Sophisticated Menopause:

To my existing patients that have stayed the course through multiple name-changes, office locations, and practice models: I am humbled and honored by your loyalty. As you know, I consider you a part of my family. I will continue to do my best to take care of you with compassion, empathy, and love to the best of my ability.


Dr. Pam (and Munson too!)