Nasser Sane, PAAA | |
6649 Lake Dr, Morrow, GA 30260-2354 | |
(770) 968-9978 | |
(770) 968-9975 |
Full Name | Nasser Sane |
---|---|
Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 6649 Lake Dr, Morrow, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568557569 | NPI | - | NPPES |
002586 | Other | GA | STATE PA LICENSE |
534 | Other | GA | NCCAA CERT NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 002586 (Georgia) | Primary |
Entity Name | Capitol Anesthesiology, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245287192 PECOS PAC ID: 5799774642 Enrollment ID: O20040507000216 |
Mailing Address | Practice Location Address |
---|---|
Nasser Sane, PAAA Po Box 278, Jonesboro, GA 30237-0278 Ph: (770) 968-9978 | Nasser Sane, PAAA 6649 Lake Dr, Morrow, GA 30260-2354 Ph: (770) 968-9978 |
Susan Kathleen Mcintire, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 | |
Wendy Kaap, PAAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 | |
Mary Alice Simonton, PAAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 | |
Raoof Kazemi, PAAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 |