Ms Carol E, Gaines, CSA is a
Physician Assistant - Surgical based in Auburn, Georgia. Ms Carol E, Gaines is licensed to practice in Georgia (license number 3014) and her current practice location is
1425 Moriah Trce, Auburn, Georgia. She can be reached at her office (for appointments etc.) via phone at
(404) 936-1378.
NPI number for Ms Carol E, Gaines is 1659575090 and her current mailing address is 1425 Moriah Trce, Auburn, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659575090.
Provider's Profile
| Full Name | Ms Carol E, Gaines |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant - Surgical |
|---|
| Location | 1425 Moriah Trce, Auburn, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659575090
- Provider Enumeration Date: 06/11/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Carol E, Gaines such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659575090 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | 3014 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Carol E, Gaines is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Carol E, Gaines, CSA
1425 Moriah Trce,
Auburn, GA 30011-9637
Ph: (404) 936-1378 | Ms Carol E, Gaines, CSA
1425 Moriah Trce,
Auburn, GA 30011-9637
Ph: (404) 936-1378 |
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