| Bradley Mooney, | |
|
3950 Austell Rd, Austell, GA 30106-1121 | |
| (470) 732-4000 | |
| Not Available |
| Full Name | Bradley Mooney |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 10 Years |
| Location | 3950 Austell Rd, Austell, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689058018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Paulding Hospital | Hiram, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mak Anesthesia Holdings, Llc | 4284917204 | 169 |
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Mooney, 416 Battlefield Creek Dr, Marietta, GA 30064-5474 Ph: (678) 378-8981 | Bradley Mooney, 3950 Austell Rd, Austell, GA 30106-1121 Ph: (470) 732-4000 |
Maggi Stuart Markwell, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000 | |
Bhavik Dhyanesh Mehta, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1483 Devon Mill Way, Austell, GA 30168 Phone: 404-660-7646 | |
Reza H Mohammad, PAAA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Road, Austell, GA 30106 Phone: 770-732-3649 Fax: 770-732-3648 | |
Ms. Whitney Ashlyn Wright, AA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-5570 | |
Ariana Lyons, AA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 470-732-4000 | |
Mbuomda Nasah Lima, PAAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-3649 Fax: 770-732-3648 | |
Elizabeth Jean Stubbs, AA-C Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 3950 Austell Rd, Austell, GA 30106 Phone: 770-732-4000 |