Lana Cankovic, MD | |
51 Roselane Street Nw, Suite 750, Mariettta, GA 30060 | |
(770) 794-0477 | |
(770) 794-3108 |
Full Name | Lana Cankovic |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 36 Years |
Location | 51 Roselane Street Nw, Mariettta, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639110877 | NPI | - | NPPES |
009949135 | Medicaid | AL | |
051520796 | Other | AL | BLUE CROSS |
010033CH72657 | Other | AL | SECTION 1011 |
051520798 | Other | AL | BLUE CROSS |
009947365 | Medicaid | AL | |
051520797 | Other | AL | BLUE CROSS |
07833224 | Other | MS | MISSISSIPPI MEDICAID |
P00215395 | Other | AL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 25350 (Alabama) | Secondary |
207L00000X | Anesthesiology | 055186 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Newton Hospital | Covington, GA | Hospital |
Grady Memorial Hospital | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emory Medical Care Foundation Inc | 4981501814 | 814 |
Sentry Anesthesia Management, Llc | 9436372323 | 207 |
Entity Name | Emory Medical Care Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
Entity Name | Emory Specialty Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Entity Name | Sentry Anesthesia Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
Entity Name | Premier Anesthesia Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811403207 PECOS PAC ID: 6608123724 Enrollment ID: O20180720001402 |
Mailing Address | Practice Location Address |
---|---|
Lana Cankovic, MD 51 Roselane Street Nw, Suite 750, Mariettta, GA 30060 Ph: (770) 794-0477 | Lana Cankovic, MD 51 Roselane Street Nw, Suite 750, Mariettta, GA 30060 Ph: (770) 794-0477 |