Kassidy Lee, CAA | |
743 Spring St Ne, Gainesville, GA 30501-3715 | |
(770) 532-7179 | |
Not Available |
Full Name | Kassidy Lee |
---|---|
Gender | Female |
Speciality | Anesthesiologist Assistant |
Location | 743 Spring St Ne, Gainesville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164116786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 11659 (Georgia) | Primary |
Entity Name | Anesthesia Associates Of Gainesville, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457456485 PECOS PAC ID: 2769381771 Enrollment ID: O20040108000009 |
Entity Name | Ambulatory Anesthesia Of North Georgia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497870562 PECOS PAC ID: 9931121332 Enrollment ID: O20051229000181 |
Mailing Address | Practice Location Address |
---|---|
Kassidy Lee, CAA 1488 Jesse Jewell Pkwy Se Ste 201, Gainesville, GA 30501-3804 Ph: (770) 532-7179 | Kassidy Lee, CAA 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (770) 532-7179 |
Amelia Jo Wiggins, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 | |
Haley Gibson, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 | |
Andrew Bryant, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 | |
Kaitlin Byrd, AAC Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-532-7179 | |
John Tavis Mclean, AAC Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-534-1312 | |
Jeffrey Walker, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-534-1312 | |
Jesson Bateman, AAC Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-532-7179 Fax: 770-534-1312 |