| Mrs Maria Magdalena Earnhart, | |
|
1255 Highway 54 W, Fayetteville, GA 30214-4526 | |
| (770) 719-7000 | |
| Not Available |
| Full Name | Mrs Maria Magdalena Earnhart |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 16 Years |
| Location | 1255 Highway 54 W, Fayetteville, Georgia |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477782399 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mak Anesthesia Holdings, Llc | 4284917204 | 169 |
| Mak Anesthesia Georgia, Llc | 7315203718 | 92 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| 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 |
|---|---|
| Mrs Maria Magdalena Earnhart, 524 Akers Ridge Dr Se, Atlanta, GA 30339-3217 Ph: (770) 595-8851 | Mrs Maria Magdalena Earnhart, 1255 Highway 54 W, Fayetteville, GA 30214-4526 Ph: (770) 719-7000 |
Daniel Lee Duncan, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-7000 | |
Callie Kennedy, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-7000 | |
Mr. Hugh Duggan, MS IN ANESTHESIA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-7000 | |
David P Wright, PA-AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 404-351-1745 Fax: 404-351-7121 | |
Joshua Gordon, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1255 Ga-54, Fayetteville, GA 30214 Phone: 770-719-7000 | |
Mr. Brett Joseph Kieffer, AA-S Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-7000 |