| Autumn Venturelli, PA | |
|
19 Coach Lee Hill Blvd, Statesboro, GA 30458-4700 | |
| (912) 662-6501 | |
| Not Available |
| Full Name | Autumn Venturelli |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 19 Coach Lee Hill Blvd, Statesboro, 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 |
|---|---|---|---|
| 1376208033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363A00000X | Physician Assistant | 11025 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Candler Hospital | Savannah, GA | Hospital |
| St Joseph's Hospital - Savannah | Savannah, GA | Hospital |
| Memorial Health University Medical Center | Savannah, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aga Professional Services Llc | 3870768997 | 175 |
| Entity Name | Aga, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124064118 PECOS PAC ID: 2365431350 Enrollment ID: O20040506000726 |
| Entity Name | Aga Professional Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063799120 PECOS PAC ID: 3870768997 Enrollment ID: O20111219000311 |
| Entity Name | Privia Medical Group of Georgia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Venturelli, PA 19 Coach Lee Hill Blvd, Statesboro, GA 30458-4700 Ph: Not Available | Autumn Venturelli, PA 19 Coach Lee Hill Blvd, Statesboro, GA 30458-4700 Ph: (912) 662-6501 |
Marian J Marrero, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 586 Brannen St, Statesboro, GA 30458 Phone: 912-871-6611 |
Jaimi Patel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1523 Fair Rd, Statesboro, GA 30458 Phone: 912-871-2000 |
Mr. George William Durrell Iv, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1497 Fair Rd Ste 200, Statesboro, GA 30458 Phone: 912-871-7100 Fax: 912-871-7110 |
Mrs. Jenny R Janney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5 Grady Johnson Rd, Statesboro, GA 30458 Phone: 912-489-6246 Fax: 912-489-6346 |
Mrs. Maryn Clements Chandler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 106 Briarwood Rd, Statesboro, GA 30458 Phone: 912-871-5000 Fax: 912-681-1444 |
Joshua Ray Harkey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5 Grady Johnson Rd, Statesboro, GA 30458 Phone: 912-489-6246 |
Jennifer M Wolfe, M.-P.A.-C. Physician Assistant Medicare: Medicare Enrolled Practice Location: 16741 Highway 67 Ste A, Statesboro, GA 30458 Phone: 912-871-7890 Fax: 912-871-7898 |