Mr Anthony E Medina, is a
Physician Assistant - Medical based in Suwanee, Georgia. Mr Anthony E Medina is licensed to practice in Georgia (license number 006030) and his current practice location is
2696 Lawrenceville Suwanee Rd, Suwanee, Georgia. He can be reached at his office (for appointments etc.) via phone at
(678) 376-1300.
NPI number for Mr Anthony E Medina is 1174779177 and his current mailing address is 2696 Lawrenceville Suwanee Rd, Suwanee, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. 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 - Medical |
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Location | 2696 Lawrenceville Suwanee Rd, Suwanee, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174779177
- Provider Enumeration Date: 08/11/2008
- Last Update Date: 05/18/2011
Medical Identifiers
Medical identifiers for Mr Anthony E Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174779177 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | RC60035704 (Washington) | Secondary |
363AM0700X | Physician Assistant - Medical | 006030 (Georgia) | Primary |
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
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
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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