| Phuong Thao Thi Nguyen, | |
|
1700 Medical Way, Snellville, GA 30078-2195 | |
| (770) 979-0200 | |
| Not Available |
| Full Name | Phuong Thao Thi Nguyen |
|---|---|
| Gender | Female |
| Speciality | Anesthesiologist Assistant |
| Location | 1700 Medical Way, Snellville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417784471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
| 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 |
|---|---|
| Phuong Thao Thi Nguyen, 3974 Leeward Ct, Duluth, GA 30096-5288 Ph: (404) 403-5822 | Phuong Thao Thi Nguyen, 1700 Medical Way, Snellville, GA 30078-2195 Ph: (770) 979-0200 |
William Musarra, A.A. Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Anesthesia Dept, Snellville, GA 30078 Phone: 770-979-9996 | |
Jeremy L Sterling, PA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-9996 Fax: 770-979-1202 | |
Mark C Ankrom, A.A. Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-9996 | |
Ermeyas Yehualashet, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 | |
Bianca Patel, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 | |
Stephanie Alyse Patel, AA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1700 Medical Way, Anesthesia Department, Snellville, GA 30078 Phone: 770-979-9996 Fax: 770-979-1202 | |
Mrs. Ky Tai Le Ruiz, AA, PA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 1700 Medical Way, Snellville, GA 30078 Phone: 770-979-0200 |