| Ms Kameko Edgecombe Burdine, CAA | |
|
6300 Powers Ferry Rd Ste 600-236, Atlanta, GA 30339-2919 | |
| (305) 810-9880 | |
| Not Available |
| Full Name | Ms Kameko Edgecombe Burdine |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 6 Years |
| Location | 6300 Powers Ferry Rd Ste 600-236, Atlanta, 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 |
|---|---|---|---|
| 1790336006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 10800 (Georgia) | Primary |
| 207L00000X | Anesthesiology | 530 (Florida) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 530 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Optim Medical Center - Tattnall | Reidsville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Anesthesia Of Georgia Llc | 6608123724 | 53 |
| American Anesthesiology Associates Of Georgia Llc | 7618934779 | 204 |
| Entity Name | American Anesthesiology Associates Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
| Entity Name | Premier Anesthesia Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811403207 PECOS PAC ID: 6608123724 Enrollment ID: O20180720001402 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kameko Edgecombe Burdine, CAA Po Box 945375, Atlanta, GA 30394-5375 Ph: (516) 945-3000 | Ms Kameko Edgecombe Burdine, CAA 6300 Powers Ferry Rd Ste 600-236, Atlanta, GA 30339-2919 Ph: (305) 810-9880 |
Matthew Lewis, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1405 Clifton Rd Ne Fl 3, Atlanta, GA 30322 Phone: 404-785-6670 Fax: 404-785-1362 | |
Elizabeth Ikeda, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1365 Clifton Rd Ne, Atlanta, GA 30322 Phone: 404-778-8311 | |
Amar R Herndon, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 Phone: 770-645-9181 | |
Shelley S Staton, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 Johnson Ferry Rd, Atlanta, GA 30342 Phone: 770-645-9181 Fax: 770-645-8455 | |
Mr. Grant Michael Mury, PAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Peachtree St Ne, Atlanta, GA 30308 Phone: 404-778-3900 | |
Ashley Schade, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 5665 Peachtree Dunwoody Rd, Atlanta, GA 30342 Phone: 706-543-3449 | |
Jiaqi Tracy Li, PAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1001 Johnson Fy Rd Ne, Atlanta, GA 30342 Phone: 404-785-2008 Fax: 404-785-4496 |