Mr Thomas J Glancy, PA-AA | |
1000 Medical Center Blvd, Lawrenceville, GA 30046-0000 | |
(770) 277-3056 | |
(855) 204-5244 |
Full Name | Mr Thomas J Glancy |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 11 Years |
Location | 1000 Medical Center Blvd, Lawrenceville, 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 |
---|---|---|---|
1003230806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 007150 (Georgia) | Primary |
367H00000X | Anesthesiologist Assistant | 1506 (Texas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Atlanta Anesthesia Professionals, Llc | 5496134348 | 425 |
Entity Name | American Anesthesiology Associates Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
Entity Name | North Atlanta Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197 |
Entity Name | North Atlanta Anesthesia Professionals, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371 |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas J Glancy, PA-AA Po Box 551420, Fort Lauderdale, FL 33355-1420 Ph: (800) 243-3839 | Mr Thomas J Glancy, PA-AA 1000 Medical Center Blvd, Lawrenceville, GA 30046-0000 Ph: (770) 277-3056 |
Heather Gail Kotula, PAAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-963-9905 | |
Kapildev Kumar Ganesh Prasad, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Lisa D Marrero, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Jason C Colier, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Ms. Lin Thi Bui, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Tuan Le Anh Bui, MD Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 771 Old Norcross Rd, Suites 155 And 390, Lawrenceville, GA 30046 Phone: 678-957-0757 Fax: 678-957-9597 |