| Susan Kathleen Mcintire, PAAA | |
|
6649 Lake Dr, Morrow, GA 30260-2354 | |
| (770) 968-9978 | |
| (770) 968-9975 |
| Full Name | Susan Kathleen Mcintire |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 32 Years |
| Location | 6649 Lake Dr, Morrow, Georgia |
| 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 |
|---|---|---|---|
| 1376696161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 002446 (Georgia) | Primary |
| 367H00000X | Anesthesiologist Assistant | 8 (South Carolina) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mak Anesthesia Holdings, Llc | 4284917204 | 169 |
| Mak Anesthesia Georgia, Llc | 7315203718 | 92 |
| Entity Name | Capitol Anesthesiology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245287192 PECOS PAC ID: 5799774642 Enrollment ID: O20040507000216 |
| Entity Name | Coastal Ambulatory Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750753786 PECOS PAC ID: 1052613023 Enrollment ID: O20160107001775 |
| 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 | Gi Anesthesia Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326569187 PECOS PAC ID: 0446516769 Enrollment ID: O20171102000283 |
| 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 |
|---|---|
| Susan Kathleen Mcintire, PAAA 6649 Lake Dr, Morrow, GA 30260-2354 Ph: (770) 968-9978 | Susan Kathleen Mcintire, PAAA 6649 Lake Dr, Morrow, GA 30260-2354 Ph: (770) 968-9978 |
Nasser Sane, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 | |
Wendy Kaap, PAAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 | |
Mary Alice Simonton, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 | |
Raoof Kazemi, PAAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 6649 Lake Dr, Morrow, GA 30260 Phone: 770-968-9978 Fax: 770-968-9975 |