Reza H Mohammad, PAAA | |
3950 Austell Road, Austell, GA 30106 | |
(770) 732-3649 | |
(770) 732-3648 |
Full Name | Reza H Mohammad |
---|---|
Gender | Female |
Speciality | Anesthesiology Assistant |
Experience | 22 Years |
Location | 3950 Austell Road, Austell, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013970607 | NPI | - | NPPES |
567958436A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 003911 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Cobb Hospital | Austell, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mak Anesthesia Holdings, Llc | 4284917204 | 170 |
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 |
Entity Name | Mak Anesthesia Holdings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
Entity Name | Mak Anesthesia Northside Affiliates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
Mailing Address | Practice Location Address |
---|---|
Reza H Mohammad, PAAA Po Box 155, Austell, GA 30168-1002 Ph: (770) 732-3649 | Reza H Mohammad, PAAA 3950 Austell Road, Austell, GA 30106 Ph: (770) 732-3649 |
Maggi Stuart Markwell, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000 | |
Bhavik Dhyanesh Mehta, AA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1483 Devon Mill Way, Austell, GA 30168 Phone: 404-660-7646 | |
Ms. Whitney Ashlyn Wright, AA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-5570 | |
Mbuomda Nasah Lima, PAAA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-3649 Fax: 770-732-3648 | |
Elizabeth Jean Stubbs, AA-C Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000 | |
Melissa Wolff, PAAA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-874-1911 |