| Ninoska M Gutierrez, PAC | |
|
2500 Starling St Ste 506, Brunswick, GA 31520-4270 | |
| (912) 265-5125 | |
| Not Available |
| Full Name | Ninoska M Gutierrez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 2500 Starling St Ste 506, Brunswick, 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 |
|---|---|---|---|
| 1053757740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 11036 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southeast Georgia Health System- Camden Campus | Saint marys, GA | Hospital |
| Southeast Georgia Health System- Brunswick Campus | Brunswick, GA | Hospital |
| St Joseph's Hospital - Savannah | Savannah, GA | Hospital |
| Candler Hospital | Savannah, GA | Hospital |
| Memorial Health University Medical Center | Savannah, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aga, Llc | 2365431350 | 138 |
| Aga Professional Services Llc | 3870768997 | 175 |
| Cooperative Healthcare Services Inc | 9830093640 | 235 |
| Entity Name | Cooperative Healthcare Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
| Entity Name | Aga, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124064118 PECOS PAC ID: 2365431350 Enrollment ID: O20040506000726 |
| Entity Name | Aga Professional Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063799120 PECOS PAC ID: 3870768997 Enrollment ID: O20111219000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Ninoska M Gutierrez, PAC 2500 Starling St Ste 506, Brunswick, GA 31520-4270 Ph: (912) 265-5125 | Ninoska M Gutierrez, PAC 2500 Starling St Ste 506, Brunswick, GA 31520-4270 Ph: (912) 265-5125 |
Mrs. Chasity Daniel Geiger, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3008 E Park Ave, Brunswick, GA 31520 Phone: 912-265-2142 Fax: 912-265-0530 |
Kacey Stokes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3025 Shrine Rd, Suite 390, Brunswick, GA 31520 Phone: 912-466-7340 Fax: 912-466-7358 |
Mrs. Regina Schmidt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3217 4th St, Brunswick, GA 31520 Phone: 912-466-4200 Fax: 912-267-0991 |
Claire Branch Reyna, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-7000 |
Angela S Latham, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2705 Wildwood Dr, Brunswick, GA 31520 Phone: 912-264-6133 Fax: 912-267-1415 |
Logan Harley Trapnell, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3025 Shrine Rd Ste 390, Brunswick, GA 31520 Phone: 912-466-7340 |
Jonathon Wesley Capps, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1111 Glynco Pkwy Bldg 1, Ste 10, Brunswick, GA 31525 Phone: 912-264-9111 |