Brantley Aaron Wyatt, CAA | |
1199 Prince Ave, Athens, GA 30606-2797 | |
(706) 475-7000 | |
Not Available |
Full Name | Brantley Aaron Wyatt |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 7 Years |
Location | 1199 Prince Ave, Athens, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427576388 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Center Anesthesiology Of Athens | 1456246230 | 64 |
Entity Name | Medical Center Anesthesiology Of Athens |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003863291 PECOS PAC ID: 1456246230 Enrollment ID: O20040219000797 |
Mailing Address | Practice Location Address |
---|---|
Brantley Aaron Wyatt, CAA Po Box 3209, Indianapolis, IN 46206-3209 Ph: (317) 614-9874 | Brantley Aaron Wyatt, CAA 1199 Prince Ave, Athens, GA 30606-2797 Ph: (706) 475-7000 |
Meaghan Warden, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-543-3449 Fax: 706-543-5744 | |
Mr. Jacob Wayne Usher, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-7643 | |
Joshua Sailors, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-475-7643 Fax: 706-475-6725 | |
David Elvington, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1199 Prince Ave, Athens, GA 30606 Phone: 706-543-3449 Fax: 706-543-5744 | |
Dimitrios K Vavlas, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1230 Baxter St, Athens, GA 30606 Phone: 706-227-3450 | |
Andy Santora, PAAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1230 Baxter St, Athens, GA 30606 Phone: 706-543-3449 Fax: 706-543-5744 |