Mr Ryan C Wallentine, PA-AA | |
380 Hospital Dr, Suite 410, Macon, GA 31217 | |
(478) 746-5644 | |
(478) 745-4849 |
Full Name | Mr Ryan C Wallentine |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 13 Years |
Location | 380 Hospital Dr, Macon, 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 |
---|---|---|---|
1114209525 | NPI | - | NPPES |
580628385 | Other | GA | TRICARE |
P01003812 | Other | GA | RAILROAD MEDICARE |
003114063C | Medicaid | GA | |
003114063D | Medicaid | GA | |
003114063B | Medicaid | GA | |
003114063A | Medicaid | GA | |
635417 | Other | GA | WELLCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (Georgia) | Secondary |
367H00000X | Anesthesiologist Assistant | 006279 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Coliseum Medical Centers, Llc, Dba | Macon, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Piedmont Anesthesia Llc | 2163837972 | 157 |
Entity Name | Anesthesia Associates Of Macon Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083720478 PECOS PAC ID: 5799698601 Enrollment ID: O20031107000003 |
Entity Name | Peach State Anesthesia Partners, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134751191 PECOS PAC ID: 8527496777 Enrollment ID: O20200321000409 |
Entity Name | Piedmont Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700474244 PECOS PAC ID: 2163837972 Enrollment ID: O20210208002823 |
Mailing Address | Practice Location Address |
---|---|
Mr Ryan C Wallentine, PA-AA Po Box 2564, Macon, GA 31203-2564 Ph: (478) 746-5644 | Mr Ryan C Wallentine, PA-AA 380 Hospital Dr, Suite 410, Macon, GA 31217 Ph: (478) 746-5644 |
Mrs. Dena D Mckenna, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Msc10, Macon, GA 31201 Phone: 478-633-1000 | |
Dr. Ge Ye, DPM Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2180 Vineville Ave, Macon, GA 31204 Phone: 478-742-3631 | |
Eric S Curtright, PA-AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405 | |
Mrs. Christie Huskey Gibson, PA-AC Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217 Phone: 478-746-5644 Fax: 478-745-4849 | |
Athena Jmullins Mullins, PA-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 866-507-5244 Fax: 855-851-4405 | |
Shilpa A Rege, PA-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 380 Hospital Dr, Suite 410, Macon, GA 31217 Phone: 478-746-5644 |