Lacey Jackson Landon, AA | |
901 18th St E, Tifton, GA 31794-3648 | |
(229) 382-7120 | |
Not Available |
Full Name | Lacey Jackson Landon |
---|---|
Gender | Female |
Speciality | Anesthesiology Assistant |
Experience | 10 Years |
Location | 901 18th St E, Tifton, 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 |
---|---|---|---|
1174922314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
East Alabama Medical Center And Snf | Opelika, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Associates Of East Alabama Llc | 5395768451 | 47 |
Entity Name | Anesthesia Associates Of East Alabama Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245201771 PECOS PAC ID: 5395768451 Enrollment ID: O20060104000743 |
Mailing Address | Practice Location Address |
---|---|
Lacey Jackson Landon, AA 907 18th St E, Suite 150, Tifton, GA 31794-3643 Ph: (229) 382-7120 | Lacey Jackson Landon, AA 901 18th St E, Tifton, GA 31794-3648 Ph: (229) 382-7120 |
Clinton Jeffery Brown, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6208 Fax: 229-353-7722 | |
Mr. Manuel Chavez Jr., CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-7050 | |
Mr. Ian Michael Hester, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120 | |
Logan Balkcom, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120 |