| Samuel Kissiedu, | |
|
6102 Jefferson Cir S, Chamblee, GA 30341-2661 | |
| (321) 274-5712 | |
| Not Available |
| Full Name | Samuel Kissiedu |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 6102 Jefferson Cir S, Chamblee, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235917154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Leesburg Regional Medical Center Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104063114 PECOS PAC ID: 8426107327 Enrollment ID: O20090526000395 |
| Entity Name | Villages Regional Hospital Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700669926 PECOS PAC ID: 0244688893 Enrollment ID: O20231121001709 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Kissiedu, 6102 Jefferson Cir S, Chamblee, GA 30341-2661 Ph: (321) 274-5712 | Samuel Kissiedu, 6102 Jefferson Cir S, Chamblee, GA 30341-2661 Ph: (321) 274-5712 |
Marion Mccauley Earnhardt, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5115 New Peachtree Rd, Suite 202, Chamblee, GA 30341 Phone: 678-672-2177 |
Ms. Lindsey Shea Clark, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5438 Peachtree Blvd, Chamblee, GA 30341 Phone: 470-816-0988 Fax: 470-398-3171 |
Sarah Annalise Estrada, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3224 Mercer University Dr Apt 301, Chamblee, GA 30341 Phone: 678-551-4508 |
Caren Leslie Kaplan, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5080 Peachtree Blvd, Suite 100, Chamblee, GA 30341 Phone: 404-785-5437 Fax: 404-785-8053 |
Whitney Kathryn Rivkin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3646 Chamblee Tucker Rd Ste D, Chamblee, GA 30341 Phone: 770-493-6767 Fax: 770-493-6769 |
Kathleen Davis, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3182 Shallowford Rd Ne, Chamblee, GA 30341 Phone: 770-457-5758 |