Mr William M Driscoll, PAAA | |
2701 N. Decatur Rd, Decatur, GA 30033-0000 | |
(678) 514-1991 | |
(678) 514-1992 |
Full Name | Mr William M Driscoll |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 16 Years |
Location | 2701 N. Decatur Rd, Decatur, 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 |
---|---|---|---|
1942463468 | NPI | - | NPPES |
668697738A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 005377 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Emory Decatur Hospital | Decatur, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emory Specialty Associates, Llc | 3476559782 | 435 |
Entity Name | Piedmont Anesthesia Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407856594 PECOS PAC ID: 3577457183 Enrollment ID: O20040212000604 |
Entity Name | American Anesthesiology Associates Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
Entity Name | Emory Specialty Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Mailing Address | Practice Location Address |
---|---|
Mr William M Driscoll, PAAA Po Box 551420, Fort Lauderdale, FL 33355-1420 Ph: (800) 243-3839 | Mr William M Driscoll, PAAA 2701 N. Decatur Rd, Decatur, GA 30033-0000 Ph: (678) 514-1991 |
Bethany Buice, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000 | |
Bradley J Maxwell, PAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 678-514-1991 Fax: 678-514-1992 | |
Wesley Michael Johansen, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000 | |
Robert F Kassatly, PAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 678-514-1991 Fax: 678-514-1992 | |
Benjamin G Anderson, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 678-514-1991 Fax: 678-514-1992 | |
Emily Yarbrough Moore, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2701 N. Decatur Rd., Decatur, GA 30033 Phone: 678-514-1991 Fax: 678-514-1992 | |
Samuel Mcnamee, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000 |