| Matthew J Noonan, PAAA | |
|
1600 Sw Archer Rd, Gainesville, FL 32610-1473 | |
| (352) 273-8610 | |
| Not Available |
| Full Name | Matthew J Noonan |
|---|---|
| Gender | Male |
| Speciality | Anesthesiologist Assistant |
| Location | 1600 Sw Archer Rd, Gainesville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215969951 | NPI | - | NPPES |
| 103736800 | Medicaid | FL | |
| 598163770B | Medicaid | GA |
| Entity Name | Fulton Dekalb Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992799050 PECOS PAC ID: 6406757590 Enrollment ID: O20040614000100 |
| 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 | Se Georgia Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518542919 PECOS PAC ID: 8426466137 Enrollment ID: O20210419001856 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew J Noonan, PAAA Po Box 100254, Gainesville, FL 32610-0254 Ph: (352) 273-8610 | Matthew J Noonan, PAAA 1600 Sw Archer Rd, Gainesville, FL 32610-1473 Ph: (352) 273-8610 |
Mr. Michael Mak, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 954-290-9882 | |
Michael John Provost, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0077 Fax: 352-265-6922 | |
John Howes, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Box 100254, Gainesville, FL 32610 Phone: 352-273-8610 | |
Vineet Reddy, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 | |
Justin Shawn Piliego, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-6438 | |
Morgan Mccormick, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 Sw Archer Rd, Gainesville, FL 32608 Phone: 352-265-0111 | |
Carey D Boudreau Jr., AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0077 |