Ms Kameko Roshan Edgecombe, CAA in Atlanta, GA - Medicare Anesthesiology Assistant

Ms Kameko Roshan Edgecombe, CAA is a medicare enrolled "Anesthesiologist Assistant" in Atlanta, Georgia. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice Premier Anesthesia Of Georgia Llc and her current practice location is 6300 Powers Ferry Rd Ste 600-236, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (305) 810-9880.

Ms Kameko Roshan Edgecombe is licensed to practice in Georgia (license number 10800) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1790336006.

Contact Information

	Ms Kameko Roshan Edgecombe, CAA
	6300 Powers Ferry Rd Ste 600-236, Atlanta, GA 30339-2919
	(305) 810-9880
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Kameko Roshan Edgecombe
Gender	Female
Speciality	Anesthesiology Assistant
Experience	5 Years
Location	6300 Powers Ferry Rd Ste 600-236, Atlanta, Georgia
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Kameko Roshan Edgecombe graduated from nursing school in 2019

NPI Data:

NPI Number: 1790336006
Provider Enumeration Date: 09/27/2019
Last Update Date: 06/15/2023

Medicare PECOS Information:

PECOS PAC ID: 9436581584
Enrollment ID: I20220321001079

Medical Identifiers

Medical identifiers for Ms Kameko Roshan Edgecombe such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790336006	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	10800 (Georgia)	Primary
207L00000X	Anesthesiology	530 (Florida)	Secondary
367H00000X	Anesthesiologist Assistant	530 (Florida)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Eastside Medical Center	Snellville, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Anesthesia Of Georgia Llc	6608123724	41

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kameko Roshan Edgecombe allows following entities to bill medicare on her behalf.

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	Premier Anesthesia Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811403207 PECOS PAC ID: 6608123724 Enrollment ID: O20180720001402

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 Kameko Roshan Edgecombe is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Kameko Roshan Edgecombe, CAA Po Box 945375, Atlanta, GA 30394-5375 Ph: (516) 945-3000	Ms Kameko Roshan Edgecombe, CAA 6300 Powers Ferry Rd Ste 600-236, Atlanta, GA 30339-2919 Ph: (305) 810-9880

Reviews and Comments

Anesthesiologist Assistant Nurses in Atlanta, GA

Matthew Lewis, PAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne Fl 3, Atlanta, GA 30322 Phone: 404-785-6670 Fax: 404-785-1362
Elizabeth Ikeda, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1365 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-8311
Amar R Herndon, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181
Shelley S Staton, PAAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1000 Johnson Ferry Rd, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455
Mr. Grant Michael Mury, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne, Atlanta, GA 30308 Phone: 404-778-3900
Ashley Schade, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342 Phone: 706-543-3449
Jiaqi Tracy Li, PAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1001 Johnson Fy Rd Ne, Atlanta, GA 30342 Phone: 404-785-2008 Fax: 404-785-4496

Ms Kameko Roshan Edgecombe, CAA - Medicare Anesthesiology Assistant in Atlanta, GA