Mr Joseph Henry Kanclerz, MSN, NP-C, RNFA | |
5742 Allee Way, Braselton, GA 30517-6268 | |
(678) 591-8344 | |
Not Available |
Full Name | Mr Joseph Henry Kanclerz |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 5742 Allee Way, Braselton, 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 |
---|---|---|---|
1164697355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WR0006X | Registered Nurse - Registered Nurse First Assistant | RN177592 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | RN177592 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern Surgical Assistants, Llc | 3375849243 | 3 |
Entity Name | Southern Surgical Assistants, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063687267 PECOS PAC ID: 3375849243 Enrollment ID: O20160303000795 |
Mailing Address | Practice Location Address |
---|---|
Mr Joseph Henry Kanclerz, MSN, NP-C, RNFA Po Box 7042, Chestnut Mountain, GA 30502-0042 Ph: (678) 591-8344 | Mr Joseph Henry Kanclerz, MSN, NP-C, RNFA 5742 Allee Way, Braselton, GA 30517-6268 Ph: (678) 591-8344 |
Mrs. Kimberly Michel Davis, MSN, RN, CCRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1400 River Pl, Braselton, GA 30517 Phone: 770-848-8000 | |
Veronica Eberhart, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1404 River Pl Ste 501, Braselton, GA 30517 Phone: 770-534-2020 Fax: 770-534-8025 | |
Stephanie Michelle Dees, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1404 River Pl Ste 303, Braselton, GA 30517 Phone: 770-848-9335 | |
Anamaria Mcclaude, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 River Pl Ste 200, Braselton, GA 30517 Phone: 770-848-9310 Fax: 770-848-9311 | |
Corey Barron, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1404 River Pl Ste 201, Braselton, GA 30517 Phone: 770-219-9200 | |
Manet Lemuel-clarke, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 River Pl Ste 340, Braselton, GA 30517 Phone: 770-219-6520 | |
Halimatou Diallo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1235 Friendship Rd Ste 115, Braselton, GA 30517 Phone: 770-904-9014 Fax: 770-904-9011 |