| Manuel Vargas, AA | |
|
7 Independence Pt Ste 300, Greenville, SC 29615-4569 | |
| (864) 522-3700 | |
| (864) 522-3705 |
| Full Name | Manuel Vargas |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 8 Years |
| Location | 7 Independence Pt Ste 300, Greenville, South Carolina |
| 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 |
|---|---|---|---|
| 1982126090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 118 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Kennestone Hospital | Marietta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gi Anesthesia Of Georgia Llc | 0446516769 | 81 |
| Wellstar Medical Group Llc | 6709065402 | 2734 |
| Entity Name | Grady Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
| 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 | Coastal Ambulatory Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750753786 PECOS PAC ID: 1052613023 Enrollment ID: O20160107001775 |
| Entity Name | Gi Anesthesia Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326569187 PECOS PAC ID: 0446516769 Enrollment ID: O20171102000283 |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel Vargas, AA 3085 Elizabeth Ln, Snellville, GA 30078-3806 Ph: (678) 294-9736 | Manuel Vargas, AA 7 Independence Pt Ste 300, Greenville, SC 29615-4569 Ph: (864) 522-3700 |
Stephen Chas Goodwin, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Mr. Christopher Robert Brown, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Tyler K Childers, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-3076 | |
Carter Mcinnis, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 | |
Taylor Douglas Vance, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-3076 Fax: 864-455-4135 | |
Allison Paige Hathaway, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 | |
Daniel Ziebko, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7 Independence Pt Ste 300, Greenville, SC 29615 Phone: 864-522-3700 Fax: 864-522-3705 |