| Tyrone Baines Ii, MD | |
|
4575 North Shallowford Road, Dunwoody, GA 30338 | |
| (770) 454-4286 | |
| (770) 454-4065 |
| Full Name | Tyrone Baines Ii |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 30 Years |
| Location | 4575 North Shallowford Road, Dunwoody, 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 |
|---|---|---|---|
| 1700832268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 057148 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emory Johns Creek Hospital | Johns creek, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emory Specialty Associates, Llc | 3476559782 | 515 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyrone Baines Ii, MD Po Box 70128, Marietta, GA 30007-0128 Ph: (770) 578-1800 | Tyrone Baines Ii, MD 4575 North Shallowford Road, Dunwoody, GA 30338 Ph: (770) 454-4286 |
Timothy Boozer, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4575 N Shallowford Rd, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Richard A Shmerling, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Keith Harlan, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Kyriakos Tarasidis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
Sidney M Simpkins, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 | |
James E Hinkle, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4575 North Shallowford Road, Dunwoody, GA 30338 Phone: 770-454-4286 Fax: 770-454-4065 |