Tracy Pavone, AA | |
3100 Kemble Ave, Brunswick, GA 31520-4211 | |
(912) 264-7000 | |
Not Available |
Full Name | Tracy Pavone |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 29 Years |
Location | 3100 Kemble Ave, Brunswick, 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 |
---|---|---|---|
1881730984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 002697 (Georgia) | Secondary |
367H00000X | Anesthesiologist Assistant | 2697 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southeast Georgia Health System- Brunswick Campus | Brunswick, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Alta Anesthesia Associates Of Georgia, Pc | 8729992987 | 35 |
Entity Name | Alta Anesthesia Associates Of Georgia, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275504771 PECOS PAC ID: 8729992987 Enrollment ID: O20031113000222 |
Mailing Address | Practice Location Address |
---|---|
Tracy Pavone, AA Po Box 235019, Montgomery, AL 36123-5019 Ph: (334) 279-1450 | Tracy Pavone, AA 3100 Kemble Ave, Brunswick, GA 31520-4211 Ph: (912) 264-7000 |
Caroline Strickland Norris, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-7000 | |
Timothy W Miller, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3100 Kemble Ave, Brunswick, GA 31520 Phone: 912-264-2929 | |
Mr. David M Manning Jr., Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-7000 | |
James Kenneth Jones, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2301 Parkwood Dr, Brunswick, GA 31520 Phone: 912-264-0014 Fax: 912-264-5003 | |
Michelle Denise Mann, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3100 Kemble Ave, Brunswick, GA 31520 Phone: 800-232-5703 | |
Carol F Elliott, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3100 Kemble Ave, Brunswick, GA 31520 Phone: 800-232-5703 |