Ghazal Motakef, | |
365 Victorian Ln, Johns Creek, GA 30097-5769 | |
(678) 551-0442 | |
Not Available |
Full Name | Ghazal Motakef |
---|---|
Gender | Female |
Speciality | Anesthesiology Assistant |
Experience | 4 Years |
Location | 365 Victorian Ln, Johns Creek, 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 |
---|---|---|---|
1841815925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (Georgia) | Secondary |
367H00000X | Anesthesiologist Assistant | 10053 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
Piedmont Hospital | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Anesthesia Associates Llc | 3577457183 | 257 |
North Atlanta Anesthesia Professionals, Llc | 5496134348 | 425 |
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 | American Anesthesiology Associates Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
Entity Name | North Atlanta Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197 |
Entity Name | North Atlanta Anesthesia Professionals, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371 |
Mailing Address | Practice Location Address |
---|---|
Ghazal Motakef, 365 Victorian Ln, Johns Creek, GA 30097-5769 Ph: (678) 551-0442 | Ghazal Motakef, 365 Victorian Ln, Johns Creek, GA 30097-5769 Ph: (678) 551-0442 |
Elyssa Marie Liwanag Junio, CAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 6325 Hospital Pkwy, Johns Creek, GA 30097 Phone: 678-474-7000 | |
Kelly Jocelyn-houchin Scott, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 6325 Hospital Parkway, Johns Creek, GA 30097 Phone: 404-778-8311 Fax: 770-495-1585 | |
Melissa E Leray, AA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 6325 Hospital Pkwy, Johns Creek, GA 30097 Phone: 404-778-8311 Fax: 770-495-1585 | |
Cheryl Nuclo, A.A. Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 6335 Hospital Pkwy, Johns Creek, GA 30097 Phone: 404-778-8311 | |
Christian Patrick Gruta, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 215 Treadstone Overlook, Johns Creek, GA 30024 Phone: 404-966-6078 |