| Cedar Kruesi Brock Baker, PA-C | |
|
275 Collier Rd Nw Ste 300, Atlanta, GA 30309-1740 | |
| (404) 350-0009 | |
| Not Available |
| Full Name | Cedar Kruesi Brock Baker |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 275 Collier Rd Nw Ste 300, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710658430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 11433 (Georgia) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Piedmont Providers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
| Entity Name | Piedmont Specialty Hospital Billing LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699290510 PECOS PAC ID: 4183986490 Enrollment ID: O20180327001180 |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Kruesi Brock Baker, PA-C 1462 Clifton Rd Ne, Atlanta, GA 30322-1063 Ph: Not Available | Cedar Kruesi Brock Baker, PA-C 275 Collier Rd Nw Ste 300, Atlanta, GA 30309-1740 Ph: (404) 350-0009 |
Chhaya J Gandhi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Suite A 4325, Atlanta, GA 30322 Phone: 404-778-3914 |
Miss Sheila Mahsa Dini, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1185, Atlanta, GA 30308 Phone: 404-223-0792 Fax: 404-223-5815 |
Dacenta Grice, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309 Phone: 404-231-4431 Fax: 404-231-5677 |
Heather Rose Van Duys, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne Ste 1600, Atlanta, GA 30308 Phone: 404-881-1094 Fax: 404-874-1249 |
Ruth Flaherty, CCC-SLP Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1364 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-712-2000 |
Kristen Swain, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 691 14th St Nw Ste E, Atlanta, GA 30318 Phone: 404-816-7900 |
Ms. Nives Keran, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1365 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-1900 |