| Rachael Maxwell, PA-C | |
|
5825 Buford Hwy Ste 300, Norcross, GA 30071-2504 | |
| (678) 993-0820 | |
| Not Available |
| Full Name | Rachael Maxwell |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 5825 Buford Hwy Ste 300, Norcross, 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 |
|---|---|---|---|
| 1265320576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Hospital, Inc | Atlanta, GA | Hospital |
| Piedmont Henry Hospital | Stockbridge, GA | Hospital |
| Piedmont Fayette Hospital | Fayetteville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Specialty Hospital Billing Llc | 4183986490 | 252 |
| Piedmont Providers Llc | 9830082825 | 526 |
| Entity Name | Piedmont Providers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
| Entity Name | Piedmont Specialty Hospital Billing LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699290510 PECOS PAC ID: 4183986490 Enrollment ID: O20180327001180 |
| Entity Name | Medlife Healthcare LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558974709 PECOS PAC ID: 1557761087 Enrollment ID: O20210621001050 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachael Maxwell, PA-C 6304 Broomsedge Trl, Peachtree Corners, GA 30092-1810 Ph: (770) 363-9653 | Rachael Maxwell, PA-C 5825 Buford Hwy Ste 300, Norcross, GA 30071-2504 Ph: (678) 993-0820 |
Erica Maria Pena, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6131 S Norcross Tucker Rd Ste 6, Norcross, GA 30093 Phone: 678-205-1959 |
Clinton M White, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6920 Jimmy Carter Blvd, Ste. 100, Norcross, GA 30071 Phone: 770-449-0990 Fax: 770-448-8818 |
Deborah Gooden Adams Bowman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5127 Jimmy Carter Blvd, Norcross, GA 30093 Phone: 404-564-7016 Fax: 770-368-3846 |
Kristen Bradburn Oliver, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5825 Buford Hwy Ste 300, Norcross, GA 30071 Phone: 678-993-0820 |
Melissa Tucker Khan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6475 Jimmy Carter Blvd Ste 200, Norcross, GA 30071 Phone: 770-242-7744 |
Leandra Roshell Brown, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5825 Buford Hwy, Norcross, GA 30071 Phone: 678-993-0820 |
Mrs. Ciandra Regine Calhoun Branch, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5127 Jimmy Carter Blvd, Norcross, GA 30093 Phone: 404-564-7007 Fax: 404-481-4520 |