| Sebah Abdulaziz, | |
|
11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 | |
| (260) 425-6030 | |
| (260) 425-6028 |
| Full Name | Sebah Abdulaziz |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 7 Years |
| Location | 11141 Parkview Plaza Dr Ste 200, Fort Wayne, Indiana |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245726645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 75000034A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Cobb Hospital | Austell, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mak Anesthesia Holdings, Llc | 4284917204 | 169 |
| Entity Name | Grady Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Entity Name | Mak Anesthesia Northside Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
| Mailing Address | Practice Location Address |
|---|---|
| Sebah Abdulaziz, 3702 New Vision Dr Bldg B, Fort Wayne, IN 46845-1703 Ph: () - | Sebah Abdulaziz, 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845-1714 Ph: (260) 425-6030 |
Jenna Gloria Gardner, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 | |
Carter Filchak, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6027 | |
Mrs. Kendra Elizabeth Dempsey, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3810 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6027 | |
Yazan Adhami, AA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6027 | |
Ryan Alexander Crouch, CAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6027 | |
Mark D Schamber, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 11141 Parkview Plaza Dr Ste 200, Fort Wayne, IN 46845 Phone: 260-425-6030 Fax: 260-425-6028 |