Mr Anthony E Medina, is a medicare enrolled "Physician Assistant - Medical" provider in Suwanee, Georgia. He went to University Of Washington School Of Medicine and graduated in 2010 and has 16 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Dawoud and his current practice location is
2696 Lawrenceville Suwanee Rd, Suwanee, Georgia. You can reach out to his office (for appointments etc.) via phone at
(678) 376-1300.
Mr Anthony E Medina is licensed to practice in Georgia (license number 006030) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174779177.
Healthcare Provider's Profile
| Full Name | Mr Anthony E Medina |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 16 Years |
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| Location | 2696 Lawrenceville Suwanee Rd, Suwanee, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Anthony E Medina attended and graduated from University Of Washington School Of Medicine in 2010
NPI Data:
- NPI Number: 1174779177
- Provider Enumeration Date: 08/11/2008
- Last Update Date: 05/18/2011
Medicare PECOS Information:
- PECOS PAC ID: 8921259904
- Enrollment ID: I20121126000154
Medical Identifiers
Medical identifiers for Mr Anthony E Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174779177 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | RC60035704 (Washington) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 006030 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Dawoud | 1951434422 | 3 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Anthony E Medina is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mr Anthony E Medina,
2696 Lawrenceville Suwanee Rd,
Suwanee, GA 30024-2535
Ph: (678) 376-1300 | Mr Anthony E Medina,
2696 Lawrenceville Suwanee Rd,
Suwanee, GA 30024-2535
Ph: (678) 376-1300 |
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