Mr Edsel L Houseworth, AA | |
1968 Peachtree Road Nw, Atlanta, GA 30309-1281 | |
(404) 351-1745 | |
(404) 351-7121 |
Full Name | Mr Edsel L Houseworth |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 24 Years |
Location | 1968 Peachtree Road Nw, Atlanta, 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 |
---|---|---|---|
1619996949 | NPI | - | NPPES |
263846020A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 003516 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Hospital | Atlanta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Anesthesia Associates Llc | 3577457183 | 257 |
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 |
Mailing Address | Practice Location Address |
---|---|
Mr Edsel L Houseworth, AA 1301 Concord Terrace, Sunrise, FL 33323-2843 Ph: (800) 243-3839 | Mr Edsel L Houseworth, AA 1968 Peachtree Road Nw, Atlanta, GA 30309-1281 Ph: (404) 351-1745 |
Miss Sheila Mahsa Dini, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1185, Atlanta, GA 30308 Phone: 404-223-0792 Fax: 404-223-5815 | |
Dacenta Grice, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309 Phone: 404-231-4431 Fax: 404-231-5677 | |
Heather Rose Van Duys, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1600, Atlanta, GA 30308 Phone: 404-881-1094 Fax: 404-874-1249 | |
Kristen Swain, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 691 14th St Nw Ste E, Atlanta, GA 30318 Phone: 404-816-7900 | |
Ms. Nives Keran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-1900 | |
Anh Van Trieu, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1400 Tullie Rd Ne, Atlanta, GA 30329 Phone: 404-785-5437 | |
Cameron R Martin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303 Phone: 404-616-4473 |