| Shirley S Rosales Mejia, PAC | |
|
3905 Johns Creek Ct Ste 200, Suwanee, GA 30024-1225 | |
| (770) 495-0799 | |
| (770) 495-0783 |
| Full Name | Shirley S Rosales Mejia |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3905 Johns Creek Ct Ste 200, Suwanee, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669200192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 12524 (Georgia) | Primary |
| Entity Name | Colon and Rectal Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003243072 PECOS PAC ID: 8628208162 Enrollment ID: O20140303001807 |
| Entity Name | Comprehensive Primary Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487120820 PECOS PAC ID: 5395098867 Enrollment ID: O20181030002804 |
| Mailing Address | Practice Location Address |
|---|---|
| Shirley S Rosales Mejia, PAC 3905 Johns Creek Ct Ste 200, Suwanee, GA 30024-1225 Ph: (770) 495-0799 | Shirley S Rosales Mejia, PAC 3905 Johns Creek Ct Ste 200, Suwanee, GA 30024-1225 Ph: (770) 495-0799 |
Karine Gelin, R PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2696 Lawrenceville Suwanee Rd, Suwanee, GA 30024 Phone: 678-376-1300 Fax: 678-514-2936 |
Bryan Rainbolt, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1300 Peachtree Industrial Blvd Ste 4101, Suwanee, GA 30024 Phone: 770-831-5525 |
Dimple Patel, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1853 Lake Shadow Way, Suwanee, GA 30024 Phone: 678-908-1478 |
Carrie Smith Nold, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 625 Old Peachtree Rd Nw, Suwanee, GA 30024 Phone: 770-682-2362 |
Eklas Mohammed, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 454 Satellite Blvd Nw Ste 100, Suwanee, GA 30024 Phone: 678-250-0880 |
Ms. Jaclyn Gleske, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1300 Peachtree Industrial Blvd Ste 4101, Suwanee, GA 30024 Phone: 770-831-5525 |
Julia S Lee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4285 Johns Creek Pkwy, Suite A, Suwanee, GA 30024 Phone: 770-622-4412 |