| Bethany Wiley Lill, | |
|
720 Transit Ave, Suite 202, Canton, GA 30114-2540 | |
| (770) 427-5717 | |
| (770) 514-6744 |
| Full Name | Bethany Wiley Lill |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 14 Years |
| Location | 720 Transit Ave, Canton, 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 |
|---|---|---|---|
| 1316298953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | 006629 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Wellstar Kennestone Regional Medical Center | Marietta, GA | Hospital |
| Wellstar Windy Hill Hospital | Marietta, GA | Long-term care hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pinnacle Orthopaedics And Sports Medicine Specialists Llc | 6204723216 | 48 |
| Entity Name | Pinnacle Orthopaedics & Sports Medicine Specialists LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194815175 PECOS PAC ID: 6204723216 Enrollment ID: O20040303001053 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Wiley Lill, 300 Tower Rd Ne, Suite 200, Marietta, GA 30060-9404 Ph: (770) 427-5717 | Bethany Wiley Lill, 720 Transit Ave, Suite 202, Canton, GA 30114-2540 Ph: (770) 427-5717 |
Uma T Daya, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 220 Oakside Ln, Canton, GA 30114 Phone: 678-807-1050 Fax: 770-720-7384 |
Alyssa Giardina, Physician Assistant Medicare: Medicare Enrolled Practice Location: 216 Moore Valley Way, Canton, GA 30115 Phone: 678-710-1312 |
Mr. Colin Flanagan, PS-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 150 Cedar Woods Trl, Canton, GA 30114 Phone: 631-807-5906 |
Brittany Marie Stento, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 470 Northside Cherokee Blvd Ste 230, Canton, GA 30115 Phone: 770-924-9656 |
Daniel Todd Cannon, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1521 Hickory Flat Hwy Ste 200, Canton, GA 30115 Phone: 470-297-1310 |
Mrs. Kirby Brown Reinecke, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 120 Oakside Ct, Suite H, Canton, GA 30114 Phone: 678-880-8770 Fax: 770-213-4418 |
Richard F Hamaker, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 220 Oakside Ln, Canton, GA 30114 Phone: 678-807-1050 Fax: 678-807-1055 |