Zacharias C Mikronis, PAAA | |
1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 | |
(678) 216-0771 | |
Not Available |
Full Name | Zacharias C Mikronis |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 26 Years |
Location | 1968 Peachtree Rd Nw, Atlanta, Georgia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477540722 | NPI | - | NPPES |
100002656I | Medicaid | GA | |
100002656J | Medicaid | GA | |
P00202126 | Other | RAILROAD MEDICARE | |
100002656A | Medicaid | GA | |
100002656E | Medicaid | GA | |
326989 | Other | GA | WELLCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 3186 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mak Anesthesia Holdings, Llc | 4284917204 | 170 |
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Piedmont Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407856594 PECOS PAC ID: 3577457183 Enrollment ID: O20040212000604 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Entity Name | Mak Anesthesia, Nw Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609202720 PECOS PAC ID: 4880820315 Enrollment ID: O20131111001715 |
Entity Name | Mak Anesthesia Tch, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730549676 PECOS PAC ID: 5890092910 Enrollment ID: O20160404001912 |
Entity Name | Mak Anesthesia Holdings, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
Mailing Address | Practice Location Address |
---|---|
Zacharias C Mikronis, PAAA 3155 N Point Pkwy, Attn: Credentialing Dept, Building F, Suite 100, Alpharetta, GA 30005 Ph: (770) 645-9181 | Zacharias C Mikronis, PAAA 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 Ph: (678) 216-0771 |
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 |