| Mr Wesley Shane Wolfer, PA-C, RRT | |
|
1000 Medical Center Blvd, Lawrenceville, GA 30045-7694 | |
| (678) 442-3317 | |
| Not Available |
| Full Name | Mr Wesley Shane Wolfer |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 18 Years |
| Location | 1000 Medical Center Blvd, Lawrenceville, 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 |
|---|---|---|---|
| 1871616177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4941 (Georgia) | Secondary |
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Floyd Medical Center | Rome, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgia Group Services, Llc | 0840338018 | 50 |
| Mak Anesthesia Georgia, Llc | 7315203718 | 92 |
| Entity Name | Georgia Group Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093947236 PECOS PAC ID: 0840338018 Enrollment ID: O20091109000203 |
| Entity Name | Mak Anesthesia Northside Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Wesley Shane Wolfer, PA-C, RRT 116 Central Grove Rd Nw, Rome, GA 30165-2589 Ph: (404) 514-2192 | Mr Wesley Shane Wolfer, PA-C, RRT 1000 Medical Center Blvd, Lawrenceville, GA 30045-7694 Ph: (678) 442-3317 |
Heather Gail Kotula, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-963-9905 | |
Mr. Thomas J Glancy, PA-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Kapildev Kumar Ganesh Prasad, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Lisa D Marrero, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Jason C Colier, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Ms. Lin Thi Bui, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Tuan Le Anh Bui, MD Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 771 Old Norcross Rd, Suites 155 And 390, Lawrenceville, GA 30046 Phone: 678-957-0757 Fax: 678-957-9597 |