| Mr Blake Thomas Bjornstad, PA-AA | |
|
1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 | |
| (678) 604-1053 | |
| Not Available |
| Full Name | Mr Blake Thomas Bjornstad |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 1 Years |
| Location | 1133 Eagles Landing Pkwy, Stockbridge, 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 |
|---|---|---|---|
| 1417843277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 13448 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Atlanta Anesthesia Professionals, Llc | 5496134348 | 543 |
| 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 |
| Entity Name | North Atlanta Anesthesia Professionals, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982349296 PECOS PAC ID: 5496134348 Enrollment ID: O20220623000371 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Blake Thomas Bjornstad, PA-AA 1000 Johnson Ferry Rd, Atlanta, GA 30342-1606 Ph: (404) 851-8917 | Mr Blake Thomas Bjornstad, PA-AA 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 Ph: (678) 604-1053 |
Sharla Phipps-mcgregor, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-1053 |
Morgan Kristine Dawson, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1740 Hudson Bridge Rd, Suite 1218, Stockbridge, GA 30281 Phone: 678-604-1053 |
Cori Leanne Bruce, CAA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-2053 |
Briana Nicole Tate-york, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-1000 |
Aleksandr Fedovskiy, PAAA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-1053 |
Alexander Lee, Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-1053 |
Azim Dayani, PAA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 678-604-1053 |