Aleksandr Fedovskiy, PAAA | |
1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | |
(678) 604-1053 | |
Not Available |
Full Name | Aleksandr Fedovskiy |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 24 Years |
Location | 1133 Eagles Landing Pkwy, Stockbridge, 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 |
---|---|---|---|
1346224763 | NPI | - | NPPES |
100000335A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 003692 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Henry Hospital | Stockbridge, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Anesthesia Llc | 2163837972 | 157 |
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Piedmont Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407856594 PECOS PAC ID: 3577457183 Enrollment ID: O20040212000604 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
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 |
Entity Name | Piedmont Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
Mailing Address | Practice Location Address |
---|---|
Aleksandr Fedovskiy, PAAA Po Box 551420, Fort Lauderdale, FL 33355-1420 Ph: (800) 243-3839 | Aleksandr Fedovskiy, PAAA 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 Ph: (678) 604-1053 |
Sharla Phipps-mcgregor, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-1053 | |
Morgan Kristine Dawson, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1740 Hudson Bridge Rd, Suite 1218, Stockbridge, GA 30281 Phone: 678-604-1053 | |
Cori Leanne Bruce, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-2053 | |
Briana Nicole Tate-york, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-1000 | |
Alexander Lee, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-1053 | |
Azim Dayani, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-1053 |