Jake Lane, | |
677 Church St Ne, Marietta, GA 30060-1101 | |
(770) 794-0477 | |
Not Available |
Full Name | Jake Lane |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 5 Years |
Location | 677 Church St Ne, Marietta, 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 |
---|---|---|---|
1417506304 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Paulding Hospital | Hiram, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Georgia Anesthesiologists, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740299197 PECOS PAC ID: 7315835063 Enrollment ID: O20040305000398 |
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 |
Mailing Address | Practice Location Address |
---|---|
Jake Lane, 531 Roselane St Nw Ste 830, Marietta, GA 30060-6979 Ph: (770) 794-0477 | Jake Lane, 677 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 794-0477 |
Whitney Morrow, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 531 Roselane St Nw, Suite 750, Marietta, GA 30060 Phone: 770-794-0477 | |
Matthew D Carpenter, AAC Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 | |
Eva Silvey Leonard, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2540 Windy Hill Rd Se, Marietta, GA 30067 Phone: 770-644-1274 | |
Luke Wilkins, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 | |
Jordan Batson Cawley, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5000 | |
Mrs. Amber Toman, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 | |
Mary Curran Dewyngaert, PA-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108 |