Miss Benita Merin Mathew, CAA | |
575 Professional Dr, #165, Lawrenceville, GA 30046-3333 | |
(770) 277-3056 | |
Not Available |
Full Name | Miss Benita Merin Mathew |
---|---|
Gender | Female |
Speciality | Anesthesiology Assistant |
Experience | 9 Years |
Location | 575 Professional Dr, Lawrenceville, Georgia |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992161624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 7853 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emory Specialty Associates, Llc | 3476559782 | 430 |
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 | 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 | 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 |
---|---|
Miss Benita Merin Mathew, CAA 575 Professional Dr, #165, Lawrenceville, GA 30046-3333 Ph: (770) 277-3056 | Miss Benita Merin Mathew, CAA 575 Professional Dr, #165, Lawrenceville, GA 30046-3333 Ph: (770) 277-3056 |
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 |