| Gloria Chaffin, | |
|
677 Church St Ne, Marietta, GA 30060-1101 | |
| (770) 794-0477 | |
| (770) 794-3108 |
| Full Name | Gloria Chaffin |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 18 Years |
| Location | 677 Church St Ne, Marietta, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336339035 | NPI | - | NPPES |
| 0853956 | Other | BCBS MI PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | (Georgia) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 67.000341 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| A4 Of Ohio Llc | 3971837188 | 31 |
| Anesthesia Associates Of Ann Arbor Pllc | 1355317223 | 202 |
| Entity Name | A4 Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255996567 PECOS PAC ID: 3971837188 Enrollment ID: O20190621001667 |
| Mailing Address | Practice Location Address |
|---|---|
| Gloria Chaffin, 4922 Starville Rd, China, MI 48054-3021 Ph: (404) 210-5504 | Gloria Chaffin, 677 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 794-0477 |
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 |