| Mr Anthony E Medina, | |
|
2696 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2535 | |
| (678) 376-1300 | |
| (678) 514-2936 |
| Full Name | Mr Anthony E Medina |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 2696 Lawrenceville Suwanee Rd, Suwanee, Georgia |
| 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 |
|---|---|---|---|
| 1174779177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 006030 (Georgia) | Primary |
| 101YM0800X | Counselor - Mental Health | RC60035704 (Washington) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dawoud | 1951434422 | 5 |
| Entity Name | Dawoud |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255650941 PECOS PAC ID: 1951434422 Enrollment ID: O20100804000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Anthony E Medina, 2696 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2535 Ph: (678) 376-1300 | Mr Anthony E Medina, 2696 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2535 Ph: (678) 376-1300 |
Karine Gelin, R PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2696 Lawrenceville Suwanee Rd, Suwanee, GA 30024 Phone: 678-376-1300 Fax: 678-514-2936 |
Bryan Rainbolt, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1300 Peachtree Industrial Blvd Ste 4101, Suwanee, GA 30024 Phone: 770-831-5525 |
Dimple Patel, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1853 Lake Shadow Way, Suwanee, GA 30024 Phone: 678-908-1478 |
Carrie Smith Nold, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 625 Old Peachtree Rd Nw, Suwanee, GA 30024 Phone: 770-682-2362 |
Eklas Mohammed, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 454 Satellite Blvd Nw Ste 100, Suwanee, GA 30024 Phone: 678-250-0880 |
Ms. Jaclyn Gleske, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1300 Peachtree Industrial Blvd Ste 4101, Suwanee, GA 30024 Phone: 770-831-5525 |
Julia S Lee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4285 Johns Creek Pkwy, Suite A, Suwanee, GA 30024 Phone: 770-622-4412 |