| Mark Anthony Lumsden, CAA | |
|
1700 Medical Way, Snellville, GA 30078-2195 | |
| (707) 979-0200 | |
| (678) 352-4322 |
| Full Name | Mark Anthony Lumsden |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 3 Years |
| Location | 1700 Medical Way, Snellville, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760103154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eastside Medical Center | Snellville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Anesthesia Of Georgia Llc | 6608123724 | 53 |
| Entity Name | Premier Anesthesia Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811403207 PECOS PAC ID: 6608123724 Enrollment ID: O20180720001402 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Anthony Lumsden, CAA 3457 Drayton Manor Run, Lawrenceville, GA 30046-9417 Ph: (201) 406-1133 | Mark Anthony Lumsden, CAA 1700 Medical Way, Snellville, GA 30078-2195 Ph: (707) 979-0200 |
William Musarra, A.A. Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Anesthesia Dept, Snellville, GA 30078 Phone: 770-979-9996 | |
Jeremy L Sterling, PA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-9996 Fax: 770-979-1202 | |
Mark C Ankrom, A.A. Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-9996 | |
Ermeyas Yehualashet, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 | |
Bianca Patel, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 | |
Stephanie Alyse Patel, AA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1700 Medical Way, Anesthesia Department, Snellville, GA 30078 Phone: 770-979-9996 Fax: 770-979-1202 | |
Mrs. Ky Tai Le Ruiz, AA, PA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 |