| Zachary K Johannesen, | |
|
5353 Reynolds Reynolds Street, Savannah, GA 31405-6015 | |
| (912) 819-6172 | |
| Not Available |
| Full Name | Zachary K Johannesen |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 12 Years |
| Location | 5353 Reynolds Reynolds Street, Savannah, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215364120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2578 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph's Hospital - Savannah | Savannah, GA | Hospital |
| Candler Hospital | Savannah, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gi Anesthesia Of Georgia Llc | 0446516769 | 81 |
| American Anesthesiology Associates Of Georgia Llc | 7618934779 | 204 |
| Entity Name | American Anesthesiology Associates Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
| Entity Name | Anesthesia Consultants Of Savannah, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679774343 PECOS PAC ID: 7911098660 Enrollment ID: O20070809000242 |
| 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 | 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Zachary K Johannesen, 255 W Michigan Ave, Po Box 11223, Jackson, MI 49201-2218 Ph: (800) 516-5315 | Zachary K Johannesen, 5353 Reynolds Reynolds Street, Savannah, GA 31405-6015 Ph: (912) 819-6172 |
Claudia Griffin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11705 Mercy Blvd, Savannah, GA 31419 Phone: 865-386-4910 | |
Mikhala Juno Moriah Johns, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4 E Jackson Blvd, Savannah, GA 31405 Phone: 912-355-1010 | |
Mrs. Edith Utley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 Eisenhower Dr, Savannah, GA 31406 Phone: 912-354-6614 | |
Mrs. Anna H. Thombs, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 106 E Broad St, Savannah, GA 31401 Phone: 912-527-1000 | |
Smita Patel, AA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 210 E Derenne Ave, Savannah, GA 31405 Phone: 912-644-5300 | |
Jordan Thomas Houston, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 519 Stephenson Ave, Savannah, GA 31405 Phone: 912-354-9447 Fax: 912-401-0741 | |
Audra Hart, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6301 Abercorn St, Savannah, GA 31405 Phone: 912-352-8700 Fax: 912-650-6805 |