| Susan Gale Eleazer, PA-C | |
|
4181 Hospital Dr Ne Ste 401, Covington, GA 30014-2541 | |
| (678) 342-8660 | |
| Not Available |
| Full Name | Susan Gale Eleazer |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 45 Years |
| Location | 4181 Hospital Dr Ne Ste 401, Covington, 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 |
|---|---|---|---|
| 1770532723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 001778 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Piedmont Medical Care Corporation | 6002802220 | 368 |
| Entity Name | Piedmont Medical Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912956046 PECOS PAC ID: 6002802220 Enrollment ID: O20040422001500 |
| Entity Name | Athens Clarke Medical Enterprises LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295370542 PECOS PAC ID: 0547698680 Enrollment ID: O20200324000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Gale Eleazer, PA-C Po Box 102321, Atlanta, GA 30368-2321 Ph: Not Available | Susan Gale Eleazer, PA-C 4181 Hospital Dr Ne Ste 401, Covington, GA 30014-2541 Ph: (678) 342-8660 |
Mr. Juriaan Martijn Van Der Heijden, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5303 Adams St Ne Ste A, Covington, GA 30014 Phone: 770-554-5009 |
Ashley E Heath, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 4155 Baker Street Ne, Suite 100, Covington, GA 30014 Phone: 770-788-0620 Fax: 678-342-3327 |
Mrs. Tiffany Blamble, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4181 Hospital Dr Ne Ste 204, Covington, GA 30014 Phone: 770-788-6534 |
Shelby Boggus King, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 Phone: 770-788-6534 |
Mr. Jace John Crawford, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5126 Hospital Dr Ne, Covington, GA 30014 Phone: 770-786-7053 |
Quincy Wudias Goodwin, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5126 Hospital Dr Ne, Covington, GA 30014 Phone: 770-607-7339 |
Ryan Kyle Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5126 Hospital Dr Ne, Covington, GA 30014 Phone: 800-532-6151 |