Susan C Peterson, PA-AA | |
303 Parkway Drive Ne,, Pmb 404, Atlanta, GA 30312-1212 | |
(404) 265-4520 | |
(404) 265-3894 |
Full Name | Susan C Peterson |
---|---|
Gender | Female |
Speciality | Anesthesiology Assistant |
Experience | 15 Years |
Location | 303 Parkway Drive Ne,, Atlanta, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932436235 | NPI | - | NPPES |
393102621A | Medicaid | GA | |
393102621B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | PA005691 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
American Anesthesiology Associates Of Georgia Llc | 7618934779 | 209 |
Entity Name | Anesthesia Associates Of Savannah ,pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487663688 PECOS PAC ID: 4880689447 Enrollment ID: O20040415000096 |
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 |
Entity Name | Lighthouse Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306036561 PECOS PAC ID: 4082702386 Enrollment ID: O20071121000002 |
Mailing Address | Practice Location Address |
---|---|
Susan C Peterson, PA-AA Po Box 932925, Atlanta, GA 31193-2925 Ph: (800) 364-9216 | Susan C Peterson, PA-AA 303 Parkway Drive Ne,, Pmb 404, Atlanta, GA 30312-1212 Ph: (404) 265-4520 |
Matthew Lewis, PAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1405 Clifton Rd Ne Fl 3, Atlanta, GA 30322 Phone: 404-785-6670 Fax: 404-785-1362 | |
Elizabeth Ikeda, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1365 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-8311 | |
Amar R Herndon, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 | |
Shelley S Staton, PAAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1000 Johnson Ferry Rd, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455 | |
Mr. Grant Michael Mury, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne, Atlanta, GA 30308 Phone: 404-778-3900 | |
Ashley Schade, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342 Phone: 706-543-3449 | |
Jiaqi Tracy Li, PAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1001 Johnson Fy Rd Ne, Atlanta, GA 30342 Phone: 404-785-2008 Fax: 404-785-4496 |