| Charles Luther, | |
|
4295 Country Garden Walk Nw, Kennesaw, GA 30152-2399 | |
| (401) 301-7218 | |
| Not Available |
| Full Name | Charles Luther |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 13 Years |
| Location | 4295 Country Garden Walk Nw, Kennesaw, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134485972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Cross Hospital | Fort lauderdale, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holy Cross Hospital Inc | 1850298365 | 265 |
| St Lucie Anesthesia Associates Llc | 4284792706 | 103 |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| Entity Name | Holy Cross Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467401877 PECOS PAC ID: 1850298365 Enrollment ID: O20031215000087 |
| Entity Name | Cleveland Clinic Florida (a Nonprofit Corporation) |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215989298 PECOS PAC ID: 7911807128 Enrollment ID: O20040113000394 |
| Entity Name | St Lucie Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700044252 PECOS PAC ID: 4284792706 Enrollment ID: O20081027000765 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Luther, 4295 Country Garden Walk Nw, Kennesaw, GA 30152-2399 Ph: () - | Charles Luther, 4295 Country Garden Walk Nw, Kennesaw, GA 30152-2399 Ph: (401) 301-7218 |
Tiffany L. Artman, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1640 Airport Rd Nw, Ste110, Kennesaw, GA 30144 Phone: 678-202-2074 Fax: 678-290-0479 | |
Donald Macneill, PAAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144 Phone: 678-202-2074 Fax: 770-590-1442 | |
Kaeli Surilla Dailey, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152 Phone: 770-702-1806 | |
Walker Barrow, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1300 Ridenour Blvd Nw Ste 300, Kennesaw, GA 30152 Phone: 770-706-1806 | |
Gary P Jones, PAAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1640 Airport Rd Nw, Ste 110, Kennesaw, GA 30144 Phone: 678-202-2074 | |
Jordan Mcclendon, CAA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152 Phone: 770-693-0810 |