Amanda L Shafer, | |
3250 Quick Water Lndg Nw, Kennesaw, GA 30144-4225 | |
(404) 857-9575 | |
Not Available |
Full Name | Amanda L Shafer |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 3250 Quick Water Lndg Nw, Kennesaw, Georgia |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720580376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN225303 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Cobb Hospital | Austell, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mak Anesthesia Holdings, Llc | 4284917204 | 170 |
Entity Name | Theramed Health, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487056586 PECOS PAC ID: 0345564472 Enrollment ID: O20150121001157 |
Entity Name | Mak Anesthesia Holdings, Llc |
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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 |
---|---|
Amanda L Shafer, 3236 Greenfield Dr, Marietta, GA 30068-3219 Ph: (404) 857-9575 | Amanda L Shafer, 3250 Quick Water Lndg Nw, Kennesaw, GA 30144-4225 Ph: (404) 857-9575 |
Lisa Vivienne Poling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Chastain Rd Nw, Kennesaw, GA 30144 Phone: 678-797-2844 Fax: 678-797-2827 | |
Mrs. Quyen Le Ta, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2628 Myrtlewood Ln Nw, Kennesaw, GA 30144 Phone: 404-324-9413 | |
Ms. Tanya S Wilcox, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152 Phone: 770-515-9000 | |
Mrs. Martricia Meshonna Turner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3805 Cherokee St Nw, Kennesaw, GA 30144 Phone: 770-426-5666 Fax: 770-426-6205 | |
Ms. Stacey Levison, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2782 Cobb Pkwy Nw, Kennesaw, GA 30152 Phone: 770-590-8181 | |
Ms. Kimberly Noel Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 Ernest W Barrett Pkwy Nw # 102b, Kennesaw, GA 30144 Phone: 678-354-2273 | |
Nilomee Patel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2851 Cobb Pkwy Nw Ste 107, Kennesaw, GA 30152 Phone: 770-738-7560 |