Edward W Lee, MD | |
2550 Windy Hill Rd Se, Suite 218, Marietta, GA 30067-8665 | |
(770) 645-9181 | |
(770) 645-8455 |
Full Name | Edward W Lee |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 31 Years |
Location | 2550 Windy Hill Rd Se, Marietta, Georgia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376538520 | NPI | - | NPPES |
000757666J | Medicaid | GA | |
000757666K | Medicaid | GA | |
000757666F | Medicaid | GA | |
000757666H | Medicaid | GA | |
000757666I | Medicaid | GA | |
000757666L | Medicaid | GA | |
000757666M | Medicaid | GA | |
000757666E | Medicaid | GA | |
000757666G | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 043681 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mak Anesthesia Holdings, Llc | 4284917204 | 170 |
Entity Name | Mak Anesthesia Cobb Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699045070 PECOS PAC ID: 7810154960 Enrollment ID: O20120201000868 |
Entity Name | Mak Anesthesia, Nw Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609202720 PECOS PAC ID: 4880820315 Enrollment ID: O20131111001715 |
Entity Name | Mak Anesthesia Decatur Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720409147 PECOS PAC ID: 8224261433 Enrollment ID: O20140423001687 |
Entity Name | Mak Anesthesia Tch, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730549676 PECOS PAC ID: 5890092910 Enrollment ID: O20160404001912 |
Entity Name | Mak Anesthesia Holdings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
Mailing Address | Practice Location Address |
---|---|
Edward W Lee, MD 3155 North Point Parkway, Building F Suite 100 Attn Credentialing Dept, Alpharetta, GA 30005 Ph: (770) 645-9181 | Edward W Lee, MD 2550 Windy Hill Rd Se, Suite 218, Marietta, GA 30067-8665 Ph: (770) 645-9181 |
Donald R Taylor, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 840 Church Street, Suite B, Marietta, GA 30060 Phone: 770-421-8080 Fax: 770-421-9566 | |
Ashkan Yazdanpanah, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 | |
Thomas M Adair, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 | |
Dr. William Shearin Jr., M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4048 Penhurst Dr, Marietta, GA 30062 Phone: 770-579-3650 | |
Alson Mercurius, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 | |
John G Porter, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 790 Church St Ne, Suite 550, Marietta, GA 30060 Phone: 770-419-9902 Fax: 770-419-7457 | |
James E. Warren, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 780 Canton Road, Suite 100, Marietta, GA 30060 Phone: 678-574-0943 Fax: 678-574-0943 |