Roy A Spence, PAAA | |
2701 N. Decatur Rd, Decatur, GA 30033-0000 | |
(678) 514-1991 | |
(678) 514-1992 |
Full Name | Roy A Spence |
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Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 2701 N. Decatur Rd, Decatur, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679528475 | NPI | - | NPPES |
1982637419 | Other | GA | GROUP NPI |
100000551B | Medicaid | GA | |
100001543A | Medicaid | GA | |
1679528475 | Other | GA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 002181 (Georgia) | Primary |
Entity Name | American Anesthesiology Associates Of Georgia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
Mailing Address | Practice Location Address |
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Roy A Spence, PAAA Po Box 551420, Fort Lauderdale, FL 33355-1420 Ph: (800) 243-3839 | Roy A Spence, PAAA 2701 N. Decatur Rd, Decatur, GA 30033-0000 Ph: (678) 514-1991 |
Bethany Buice, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000 | |
Bradley J Maxwell, PAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 678-514-1991 Fax: 678-514-1992 | |
Wesley Michael Johansen, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000 | |
Robert F Kassatly, PAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 678-514-1991 Fax: 678-514-1992 | |
Benjamin G Anderson, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 678-514-1991 Fax: 678-514-1992 | |
Emily Yarbrough Moore, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2701 N. Decatur Rd., Decatur, GA 30033 Phone: 678-514-1991 Fax: 678-514-1992 | |
Samuel Mcnamee, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-1000 |