| Lana Cankovic, MD | |
|
51 Roselane Street Nw, Suite 750, Mariettta, GA 30060 | |
| (770) 794-0477 | |
| (770) 794-3108 |
| Full Name | Lana Cankovic |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 37 Years |
| Location | 51 Roselane Street Nw, Mariettta, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639110877 | NPI | - | NPPES |
| 009949135 | Medicaid | AL | |
| 051520796 | Other | AL | BLUE CROSS |
| 010033CH72657 | Other | AL | SECTION 1011 |
| 051520798 | Other | AL | BLUE CROSS |
| 009947365 | Medicaid | AL | |
| 051520797 | Other | AL | BLUE CROSS |
| 07833224 | Other | MS | MISSISSIPPI MEDICAID |
| P00215395 | Other | AL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 25350 (Alabama) | Secondary |
| 207L00000X | Anesthesiology | 055186 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Newton Hospital | Covington, GA | Hospital |
| Emory Decatur Hospital | Decatur, GA | Hospital |
| Grady Memorial Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emory Specialty Associates, Llc | 3476559782 | 515 |
| Emory Medical Care Foundation Inc | 4981501814 | 877 |
| Sentry Anesthesia Management, Llc | 9436372323 | 203 |
| Entity Name | Emory Medical Care Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
| 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 | Sentry Anesthesia Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571 |
| Entity Name | Premier Anesthesia Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811403207 PECOS PAC ID: 6608123724 Enrollment ID: O20180720001402 |
| Mailing Address | Practice Location Address |
|---|---|
| Lana Cankovic, MD 51 Roselane Street Nw, Suite 750, Mariettta, GA 30060 Ph: (770) 794-0477 | Lana Cankovic, MD 51 Roselane Street Nw, Suite 750, Mariettta, GA 30060 Ph: (770) 794-0477 |