| Mrs Chaska Lashawn Moore, PA-C | |
|
750 Mount Zion Rd, Jonesboro, GA 30236-3002 | |
| (770) 960-8855 | |
| Not Available |
| Full Name | Mrs Chaska Lashawn Moore |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 750 Mount Zion Rd, Jonesboro, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932305810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4012 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advantage Behavioral Health Systems | 1052200599 | 33 |
| Entity Name | Advantage Behavioral Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942270558 PECOS PAC ID: 1052200599 Enrollment ID: O20040312000946 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Chaska Lashawn Moore, PA-C 750 Mount Zion Rd, Jonesboro, GA 30236-3002 Ph: (770) 778-9004 | Mrs Chaska Lashawn Moore, PA-C 750 Mount Zion Rd, Jonesboro, GA 30236-3002 Ph: (770) 960-8855 |
Teresa Cleaves, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 804 River Mist Dr, Jonesboro, GA 30238 Phone: 770-985-4257 Fax: 770-985-4258 |
Mr. Jerome A Maislis, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 Phone: 770-603-3649 |
Stephanie Summerhill-brcka, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2400 Mount Zion Pkwy, Jonesboro, GA 30236 Phone: 404-365-0966 |
Karen Dixon, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 325 Fieldstone Pkwy, Jonesboro, GA 30236 Phone: 678-499-5103 Fax: 770-629-5554 |
Meghan C Campbell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Comprehensive Medical Ctr, Jonesboro, GA 30236 Phone: 770-603-3649 |
Mr. Keith Wesley Fort, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 201-943-9100 Fax: 201-943-7308 |
Mr. Vladimyr Kuvarov Hilaire, CSFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8211 Blackfoot Trl, Jonesboro, GA 30236 Phone: 404-954-0790 |