Susan Kathleen Mcintire, PAAA | |
6649 Lake Dr, Morrow, GA 30260-2354 | |
(770) 968-9978 | |
(770) 968-9975 |
Full Name | Susan Kathleen Mcintire |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 31 Years |
Location | 6649 Lake Dr, Morrow, 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 |
---|---|---|---|
1376696161 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 002446 (Georgia) | Primary |
367H00000X | Anesthesiologist Assistant | 8 (South Carolina) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ambulatory Anesthesia Alliance Of Ga Llc | 9133114234 | 11 |
Mak Anesthesia Holdings, Llc | 4284917204 | 170 |
Mak Anesthesia Northside Affiliates Llc | 7315203718 | 38 |
Entity Name | Ambulatory Anesthesia Alliance Of Ga Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386737393 PECOS PAC ID: 9133114234 Enrollment ID: O20040419000107 |
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 |
Mailing Address | Practice Location Address |
---|---|
Susan Kathleen Mcintire, PAAA 6649 Lake Dr, Morrow, GA 30260-2354 Ph: (770) 968-9978 | Susan Kathleen Mcintire, PAAA 6649 Lake Dr, Morrow, GA 30260-2354 Ph: (770) 968-9978 |
Nasser Sane, PAAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 | |
Wendy Kaap, PAAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 | |
Mary Alice Simonton, PAAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 | |
Raoof Kazemi, PAAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 |