| Lani Michelle Roberts, | |
|
304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 | |
| (706) 509-6885 | |
| Not Available |
| Full Name | Lani Michelle Roberts |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 14 Years |
| Location | 304 Turner Mccall Blvd Sw, Rome, 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 |
|---|---|---|---|
| 1730460437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 006220 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Floyd Medical Center | Rome, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia Group Services, Llc | 0840338018 | 50 |
| Mak Anesthesia Georgia, Llc | 7315203718 | 92 |
| Entity Name | Georgia Group Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093947236 PECOS PAC ID: 0840338018 Enrollment ID: O20091109000203 |
| Entity Name | Mak Anesthesia Northside Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
| Mailing Address | Practice Location Address |
|---|---|
| Lani Michelle Roberts, 2694 Old Rockmart Rd Se, Silver Creek, GA 30173-3125 Ph: (678) 361-6926 | Lani Michelle Roberts, 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 Ph: (706) 509-6885 |
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: May Accept Medicare Assignments Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 770-702-1806 | |
Jeffrey Lee Mahoney, PA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 Redmond Rd Nw, Rome, GA 30165 Phone: 706-291-0291 | |
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: May Accept Medicare Assignments Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-509-5000 | |
Mr. Charles E. Hufstetler, AA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 501 Redmond Rd Nw, Rome, GA 30165 Phone: 706-291-0291 |