| Dr Bradley C Phoenix, MD | |
|
2701 N. Decatur Rd, Decatur, GA 30033-0000 | |
| (678) 514-1991 | |
| (678) 514-1992 |
| Full Name | Dr Bradley C Phoenix |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 23 Years |
| Location | 2701 N. Decatur Rd, Decatur, 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 |
|---|---|---|---|
| 1134138746 | NPI | - | NPPES |
| 831955056A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 22087 (West Virginia) | Secondary |
| 207L00000X | Anesthesiology | 059852 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Forsyth | Cumming, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Atlanta Anesthesia Professionals, Llc | 5496134348 | 485 |
| Entity Name | American Anesthesiology Associates Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
| Entity Name | North Atlanta Anesthesia Professionals, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bradley C Phoenix, MD Po Box 551420, Fort Lauderdale, FL 33355-1420 Ph: (800) 243-3839 | Dr Bradley C Phoenix, MD 2701 N. Decatur Rd, Decatur, GA 30033-0000 Ph: (678) 514-1991 |
James Patrick Thomson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 678-514-1991 Fax: 678-514-1992 | |
Cristalle Astrid Jones, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2701 N Decatur Rd, Decatur, GA 30033 Phone: 404-501-5265 | |
Hemant Chaparala, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2711 Irvin Way, Decatur, GA 30030 Phone: 678-344-8900 | |
Andrew E Beeson, PAAA Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 2701 N. Decatur Rd, Decatur, GA 30033 Phone: 678-514-1991 Fax: 678-514-1992 | |
John E Scharf, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1670 Clairmont Rd, Atlanta Va Hosptial, Anesthesia Section, Mailstop 112a, Decatur, GA 30033 Phone: 404-321-6111 Fax: 404-728-5018 | |
Dr. Leslye Howell Pace, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2675 N Decatur Rd, Suite 506, Decatur, GA 30033 Phone: 404-299-1679 Fax: 404-508-7558 | |
Jerry Kalangara, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 250 N Arcadia Ave, Decatur, GA 30030 Phone: 404-321-6111 |