| Sirui Pan, | |
|
4235 Johns Creek Pkwy Ste A, Suwanee, GA 30024-6038 | |
| (678) 402-9550 | |
| (678) 802-5765 |
| Full Name | Sirui Pan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 4235 Johns Creek Pkwy Ste A, Suwanee, 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 |
|---|---|---|---|
| 1174339097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Medical Group, P.c. | 3577559673 | 139 |
| Entity Name | Southeast Medical Group, P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235296054 PECOS PAC ID: 3577559673 Enrollment ID: O20040423000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Sirui Pan, 4300 N Point Pkwy Ste 300, Alpharetta, GA 30022-4102 Ph: (770) 442-1911 | Sirui Pan, 4235 Johns Creek Pkwy Ste A, Suwanee, GA 30024-6038 Ph: (678) 402-9550 |
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 |