Clarence Lamar Godfrey, PAAA in Marietta, GA - Medicare Anesthesiologist Assistant

Clarence Lamar Godfrey, PAAA is a medicare enrolled "Anesthesiologist Assistant" in Marietta, Georgia. His current practice location is 2540 Windy Hill Rd Se, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (470) 644-1274.

Clarence Lamar Godfrey is licensed to practice in Georgia (license number 005632) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407189194.

Contact Information

	Clarence Lamar Godfrey, PAAA
	2540 Windy Hill Rd Se, Marietta, GA 30067-8605
	(470) 644-1274
	Not Available

Map and Direction

Provider's Profile

Full Name	Clarence Lamar Godfrey
Gender	Male
Speciality	Anesthesiologist Assistant
Location	2540 Windy Hill Rd Se, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407189194
Provider Enumeration Date: 09/12/2009
Last Update Date: 03/26/2025

Medicare PECOS Information:

PECOS PAC ID: 7012056906
Enrollment ID: I20091207000294

Medical Identifiers

Medical identifiers for Clarence Lamar Godfrey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407189194	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367H00000X	Anesthesiologist Assistant	005632 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Clarence Lamar Godfrey allows following entities to bill medicare on his behalf.

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	North Atlanta Anesthesia Professionals, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clarence Lamar Godfrey is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Clarence Lamar Godfrey, PAAA 3155 N Point Pkwy, Building F, Suite 100, Alpharetta, GA 30005-5481 Ph: (770) 645-9181	Clarence Lamar Godfrey, PAAA 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 Ph: (470) 644-1274

Reviews and Comments

Anesthesiologist Assistant Nurses in Marietta, GA

Whitney Morrow, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 531 Roselane St Nw, Suite 750, Marietta, GA 30060 Phone: 770-794-0477
Matthew D Carpenter, AAC Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108
Eva Silvey Leonard, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2540 Windy Hill Rd Se, Marietta, GA 30067 Phone: 770-644-1274
Luke Wilkins, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108
Jordan Batson Cawley, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-793-5000
Mrs. Amber Toman, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477
Mary Curran Dewyngaert, PA-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108

Clarence Lamar Godfrey, PAAA - Medicare Anesthesiologist Assistant in Marietta, GA