| Anthony Allen, PA-C | |
|
1301 Sigman Road Se, Suite 230, Conyers, GA 30012-3872 | |
| (678) 609-4912 | |
| Not Available |
| Full Name | Anthony Allen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 46 Years |
| Location | 1301 Sigman Road Se, Conyers, 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 |
|---|---|---|---|
| 1457441222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 161771147 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ingleside Emergency Group Llc | 1355698317 | 29 |
| Entity Name | Ingleside Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144712662 PECOS PAC ID: 1355698317 Enrollment ID: O20180720002968 |
| Entity Name | Lake Spring Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215429600 PECOS PAC ID: 6406103498 Enrollment ID: O20180723001173 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Allen, PA-C 1301 Sigman Road Se, Suite 230, Conyers, GA 30012-3872 Ph: (678) 609-4912 | Anthony Allen, PA-C 1301 Sigman Road Se, Suite 230, Conyers, GA 30012-3872 Ph: (678) 609-4912 |
Valencia Tutein, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1600 Sugarmaple Ln Sw, Conyers, GA 30094 Phone: 770-985-4257 Fax: 770-985-4258 |
Ashley Marie Mcguire-tanksley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012 Phone: 770-922-4024 |
Joli A Smith, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1397 Manchester Dr Ne, Conyers, GA 30012 Phone: 770-284-6161 Fax: 833-455-8366 |
Cameron Taube, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1301 Sigman Rd Ne Ste 190, Conyers, GA 30012 Phone: 678-806-3566 |
Stephanie Ingram, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 863 Flat Shoals Rd Se Ste C238, Conyers, GA 30094 Phone: 770-354-6940 |
Krisna Patel, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013 Phone: 770-920-7000 |
Clara A Matthews, BSN,RN, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1930 Windsor Creek Drive Sw, Conyers, GA 30094 Phone: 717-324-0667 |