Richard John Staie, PA | |
8954 Hospital Dr, Douglasville, GA 30134-2272 | |
(770) 920-6413 | |
(678) 838-2532 |
Full Name | Richard John Staie |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 22 Years |
Location | 8954 Hospital Dr, Douglasville, 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 |
---|---|---|---|
1659353357 | NPI | - | NPPES |
100002432B | Medicaid | GA | |
491431789A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 003918 (Georgia) | Secondary |
367H00000X | Anesthesiologist Assistant | 003918 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Centura Health-penrose St Francis Health Services | Colorado springs, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Us Anesthesia Partners Of Colorado Inc | 6002072055 | 570 |
Entity Name | Us Anesthesia Partners Of Colorado Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922365782 PECOS PAC ID: 6002072055 Enrollment ID: O20120725000032 |
Mailing Address | Practice Location Address |
---|---|
Richard John Staie, PA 610 Acadia Dr # 7131, Ellijay, GA 30540-5986 Ph: (770) 634-1287 | Richard John Staie, PA 8954 Hospital Dr, Douglasville, GA 30134-2272 Ph: (770) 920-6413 |
Milan Alpesh Patel, P.A. Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 8954 Hospital Dr, Douglasville, GA 30134 Phone: 770-920-6413 Fax: 678-838-2532 | |
Joseph Rosenthal, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 8954 Hospital Dr, Douglasville, GA 30134 Phone: 770-949-1500 |