| Nasser Sane, PAAA | |
|
6649 Lake Dr, Morrow, GA 30260-2354 | |
| (770) 968-9978 | |
| (770) 968-9975 |
| Full Name | Nasser Sane |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 31 Years |
| Location | 6649 Lake Dr, Morrow, 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 |
|---|---|---|---|
| 1568557569 | NPI | - | NPPES |
| 002586 | Other | GA | STATE PA LICENSE |
| 534 | Other | GA | NCCAA CERT NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 002586 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Atlanta Anesthesia Professionals, Llc | 5496134348 | 485 |
| 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 |
|---|---|
| Nasser Sane, PAAA Po Box 278, Jonesboro, GA 30237-0278 Ph: (770) 968-9978 | Nasser Sane, PAAA 6649 Lake Dr, Morrow, GA 30260-2354 Ph: (770) 968-9978 |
Susan Kathleen Mcintire, PAAA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 | |
Wendy Kaap, PAAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 | |
Mary Alice Simonton, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 | |
Raoof Kazemi, PAAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 |