Shiju M Simon, AA-C | |
1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | |
(678) 312-1000 | |
Not Available |
Full Name | Shiju M Simon |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 9 Years |
Location | 1000 Medical Center Blvd, Lawrenceville, 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 |
---|---|---|---|
1942677919 | NPI | - | NPPES |
015893200 | Medicaid | FL |
Facility Name | Location | Facility Type |
---|---|---|
Emory Decatur Hospital | Decatur, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emory Specialty Associates, Llc | 3476559782 | 435 |
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 | Emory Specialty Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
Entity Name | North Atlanta Professional Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316959869 PECOS PAC ID: 0840291944 Enrollment ID: O20070116000197 |
Entity Name | Coastal Ambulatory Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750753786 PECOS PAC ID: 1052613023 Enrollment ID: O20160107001775 |
Entity Name | Gi Anesthesia Of Georgia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326569187 PECOS PAC ID: 0446516769 Enrollment ID: O20171102000283 |
Mailing Address | Practice Location Address |
---|---|
Shiju M Simon, AA-C 362 Grassmeade Way, Snellville, GA 30078-7782 Ph: (404) 271-7507 | Shiju M Simon, AA-C 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 Ph: (678) 312-1000 |
Heather Gail Kotula, PAAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-963-9905 | |
Mr. Thomas J Glancy, PA-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Kapildev Kumar Ganesh Prasad, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Lisa D Marrero, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Jason C Colier, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Ms. Lin Thi Bui, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Tuan Le Anh Bui, MD Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 771 Old Norcross Rd, Suites 155 And 390, Lawrenceville, GA 30046 Phone: 678-957-0757 Fax: 678-957-9597 |