| Jeffrey Lee Mahoney, PA | |
|
501 Redmond Rd Nw, Rome, GA 30165-1415 | |
| (706) 291-0291 | |
| Not Available |
| Full Name | Jeffrey Lee Mahoney |
|---|---|
| Gender | Male |
| Speciality | Anesthesiologist Assistant |
| Location | 501 Redmond Rd Nw, Rome, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295840585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 003963 (Georgia) | Primary |
| Entity Name | Redmond Anesthesia And Pain Treatment, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821350984 PECOS PAC ID: 4880841741 Enrollment ID: O20120828000499 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Lee Mahoney, PA 1664 Berkford Ct Ne, Atlanta, GA 30319-1707 Ph: (770) 234-9452 | Jeffrey Lee Mahoney, PA 501 Redmond Rd Nw, Rome, GA 30165-1415 Ph: (706) 291-0291 |
Douglas E Mcniece, PA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 501 Redmond Rd Nw, Anesthesiology Department, Rome, GA 30165 Phone: 706-291-0291 | |
Britton White, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 938-233-5920 | |
Tobias W Bradshaw, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 770-702-1806 | |
Stephen Mark Walker, PAAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 330 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-802-2000 Fax: 706-233-9846 | |
Mr. Harry Mallette Peagler Iv, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-509-5000 | |
Mr. Charles E. Hufstetler, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 Redmond Rd Nw, Rome, GA 30165 Phone: 706-291-0291 |