| Ashly Mcdaniel, PA-C | |
|
3527 N Valdosta Rd, Valdosta, GA 31602-6418 | |
| (229) 247-2290 | |
| Not Available |
| Full Name | Ashly Mcdaniel |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 3527 N Valdosta Rd, Valdosta, 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 |
|---|---|---|---|
| 1033675467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9141 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | PA9115651 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thomas C. Tolli Md Pa | 2567469372 | 2 |
| Entity Name | Thomas C. Tolli MD PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235152208 PECOS PAC ID: 2567469372 Enrollment ID: O20061108000345 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashly Mcdaniel, PA-C 1001 37th St N Ste C, St Petersburg, FL 33713-6010 Ph: (727) 328-1001 | Ashly Mcdaniel, PA-C 3527 N Valdosta Rd, Valdosta, GA 31602-6418 Ph: (229) 247-2290 |
Chaeli Wisenbaker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2412 N Oak St, Valdosta, GA 31602 Phone: 229-244-1400 Fax: 229-244-5512 |
Mr. Lonas Edward Lewis Ii, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3251 Inner Perimeter Rd Ste B, Valdosta, GA 31602 Phone: 229-259-0006 Fax: 229-259-0803 |
Dana Woods Simpson, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 201 Woodrow Wilson Dr, Valdosta, GA 31602 Phone: 229-241-0041 Fax: 229-241-0048 |
Matthew Allan Thomas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2412 N Oak St, Valdosta, GA 31602 Phone: 229-244-1400 Fax: 229-244-5512 |
Ms. Shonta K Winbush, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 704 Gil Harbin Ind Blvd, Valdosta, GA 31602 Phone: 229-242-9003 Fax: 229-242-0490 |
Lela Faircloth Allen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2412 N Oak St, Valdosta, GA 31602 Phone: 229-244-1400 Fax: 229-244-5512 |
Susan Thi Le, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2410 N Oak St, Valdosta, GA 31602 Phone: 229-241-7546 |