| Mary Alice Simonton, PAAA | |
|
6649 Lake Dr, Morrow, GA 30260-2354 | |
| (770) 968-9978 | |
| (770) 968-9975 |
| Full Name | Mary Alice Simonton |
|---|---|
| Gender | Female |
| Speciality | Anesthesiologist Assistant |
| Location | 6649 Lake Dr, Morrow, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831235050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 002350 (Georgia) | Primary |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200508002106 |
| Entity Name | Ad Of Georgia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144073818 PECOS PAC ID: 2567905888 Enrollment ID: O20240614002377 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Alice Simonton, PAAA 6649 Lake Dr, Morrow, GA 30260-2354 Ph: (770) 968-9978 | Mary Alice Simonton, PAAA 6649 Lake Dr, Morrow, GA 30260-2354 Ph: (770) 968-9978 |
Susan Kathleen Mcintire, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 | |
Nasser Sane, PAAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 | |
Wendy Kaap, PAAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 | |
Raoof Kazemi, PAAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 |