Bradley J Maxwell, PAA - Medicare Anesthesiologist Assistant in Decatur, GA

Bradley J Maxwell, PAA is a medicare enrolled "Anesthesiologist Assistant" in Decatur, Georgia. His current practice location is 2701 N Decatur Rd, Decatur, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 514-1991.

Bradley J Maxwell is licensed to practice in Georgia (license number 003166) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1104866250.

Contact Information

Bradley J Maxwell, PAA
2701 N Decatur Rd,
Decatur, GA 30033-5918
(678) 514-1991
(678) 514-1992



Provider's Profile

Full NameBradley J Maxwell
GenderMale
SpecialityAnesthesiologist Assistant
Location2701 N Decatur Rd, Decatur, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104866250
  • Provider Enumeration Date: 06/07/2006
  • Last Update Date: 02/20/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1456546076
  • Enrollment ID: I20101109000929

Medical Identifiers

Medical identifiers for Bradley J Maxwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104866250NPI-NPPES
100002306AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 003166 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bradley J Maxwell allows following entities to bill medicare on his behalf.
Entity NameAmerican Anesthesiology Associates Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528068673
PECOS PAC ID: 7618934779
Enrollment ID: O20041210000442

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Entity NameNorth Atlanta Anesthesia Professionals, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982349296
PECOS PAC ID: 5496134348
Enrollment ID: O20220623000371

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradley J Maxwell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bradley J Maxwell, PAA
Po Box 551420,
Fort Lauderdale, FL 33355-1420

Ph: (800) 243-3839
Bradley J Maxwell, PAA
2701 N Decatur Rd,
Decatur, GA 30033-5918

Ph: (678) 514-1991

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Anesthesiologist Assistant Nurses in Decatur, GA

Bethany Buice,
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2701 N Decatur Rd, Decatur, GA 30033
Phone: 404-501-1000    
Wesley Michael Johansen,
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2701 N Decatur Rd, Decatur, GA 30033
Phone: 404-501-1000    
Robert F Kassatly, PAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 2701 N Decatur Rd, Decatur, GA 30033
Phone: 678-514-1991    Fax: 678-514-1992
Benjamin G Anderson, PAA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2701 N Decatur Rd, Decatur, GA 30033
Phone: 678-514-1991    Fax: 678-514-1992
Emily Yarbrough Moore, AA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 2701 N. Decatur Rd., Decatur, GA 30033
Phone: 678-514-1991    Fax: 678-514-1992
Marc E Hinckley, PAAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 2701 N. Decatur Rd, Decatur, GA 30033
Phone: 678-514-1991    Fax: 678-514-1992

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